Академический Документы
Профессиональный Документы
Культура Документы
OF
HYDATID CYST LIVER
BY:
DR.NAVEED AHMED
RESIDENT OF SURGERY
WARD # 26,JPMC
Introduction:
► The disease is caused by the helminth
Echinococcus granulosus (dog
tapeworm).
Lungs
Brain
STRUCTURE OF HYDATID CYST
► Serological study
Farmers
or
Persons in
contact with
dog/sheeps.
Serologically by:
► Eosinophilia
► Detection of antibody by:
HYDATID CYST
&
► Surgical treatment
PHARMACOLOGICAL TREATMENT
► Pharmacological treatment is not curative.
► Indicated in cases which are inoperable (surgery is
contraindicated).
► Used as an adjunct to surgery to kill spilled
scolices & avoid peritoneal contamination.
► Drug of choice are
albendazole,
mebendazole
praziquantel
Surgery is the most specific form of
curative treatment for echinococcosis.
SURGICAL TREATMENT:
► For uncomplicated hydatid cysts
►Open/Laparoscopic surgery
1. Intarperitoneal Laparotomy +
rupture peritoneal toilet +
Pericystectomy
Choledochotomy +
2. Intrabiliary rupture T-tube placement
POST-OP COMPLICATIONS:
► Anaphylactic shock
► Bleeding
► Recurrence