Experience with Extra Hepatic Intra Abdominal Hydatid Cyst

  • Altaf Ahmed Talpur Department of Surgery, Liaquat University of Medical and Health Sciences Jamshoro, Sind, Pakistan, 2Department ofSurgery, Liaquat University Hospital Hyderabad/ Jamshoro, Sind, Pakistan.
  • Aijaz Ahmed Shaikh Department of Surgery, Liaquat University of Medical and Health Sciences Jamshoro, Sind, Pakistan.
  • Muhammad Imran Arain Department of Surgery, Liaquat University Hospital Hyderabad/ Jamshoro, Sind, Pakistan.
  • Akmal Jamal Siddiqui Department of Surgery, Liaquat University of Medical and Health Sciences Jamshoro, Sind, Pakistan.
Keywords: extra hepatic; hydatid disease; intra abdominal.

Abstract

Introduction: Hydatid disease is a significant health problem with their location at Extrahepatic Intra abdominal sites is a very rare disease. Disease in these sites usually found concurrently with liver hydatid disease. Diagnosis is based blood tests & imaging studies. Surgery is the mainstay of treatment. This study will help us in determining the frequency of Extra Hepatic Intra Abdominal Hydatid Disease. Also different methods to diagnose & treat the disease will be evaluated.  

Methods: It includes patients of extra hepatic intra abdominal Hydatid cyst above 13 years and underwent surgery from 2009 to 2014. Variables include age, sex, clinical findings, diagnostic investigations, operative findings, operative procedure, post operative complications.

Results: Eleven patients; 07 male & 04 female; mean age 37.54 years. Most common symptoms were mass in abdomen in 11 patients & dull pain abdomen in 09 (81.8%) patients. Examination revealed non tender mass in epigastric & umbilical region in 04 (36.3%) patients. Ultrasound Abdomen showed hydatid cyst spleen in 02 (18.1%) patients, epigastrium in 04 (36.3%) patients, beneath left crus of diaphragm in 02 (18.1%) patients & right iliac fossa & pelvis in 1 (9.09%) patient. In 02 (18.1%) patients multiple Hydatid cysts were noted. Hydatid cysts liver found in 07 (63.6%) patients. C.T scan Abdomen was performed in 09 (81.8%) patients. Surgical procedures performed include Saucerization & omental packing in liver Hydatid cysts; Splenectomy for Splenic disease & complete excision of remaining intra-abdominal Hydatid cysts. Postoperative complications noted in 05  (45.4%) patients.

Conclusions: Extra hepatic intra abdominal is an infrequent disease presents significant diagnostic & therapeutic challenge for surgeons.

Keywords: extra hepatic; hydatid disease;  intra abdominal.

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Published
2015-12-31
How to Cite
Talpur, A., Shaikh, A., Arain, M., & Siddiqui, A. (2015). Experience with Extra Hepatic Intra Abdominal Hydatid Cyst. Journal of Nepal Medical Association, 53(200), 270-274. https://doi.org/10.31729/jnma.2744
Section
Original Article