Two Cases of Recurrent Hydatid Cyst in Liver at a Tertiary Care of Western Maharashtra, India
Dr. Rajashri Vilasrao Patil,
Flat No. 402, G Wing, Richwood Society, Sector 11, Spine Road, Pune, Maharashtra, India.
|A hydatid cyst is a larval cyst in human tissues caused by a tape worm Echinococcus granulosus. It is a zoonotic disease. Cystic Echinococcosis (CE) is included in the list of Neglected Tropical Disease (NTD) by the World Health Organisation (WHO). Two such cases are presented. First, a 65-year-old man, admitted for cataract surgery gave a history of abnormal bowel habits from past one year. Puncture, Aspiration, Injection, Re-Aspiration (PAIR) procedure was performed and pigtail catheter was placed. Irrigation with hypertonic saline and betadine was performed followed by metronidazole and betadine for 12 days. Characteristic hooklet of Echinococcus spp. was seen and a definitive diagnosis of hydatid cyst was made. Second, a patient of 35-year-old female came to surgery outpatient department with the complaint of sudden onset of pain in right hypochondrium for 10 days over an operated scar. The patient was posted for PAIR and a pigtail catheterisation was done. Fluid was sent for microscopical examination, which showed protoscolices with internalised hooklets suggestive of Echinococcal infection. The hydatid cyst is a NTD. It is fairly common in agriculture based countries and may masquerade with a variety of symptoms or remain asymptomatic. Treatment can be difficult as well as challenging and can reoccur even after treatment and therefore patient should be followed up even after months of treatment.|
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