Hepatic Hydatidosis , Analysis Of 126 Cases

Abstract

Background: Hydatid disease ( H D) is a serious health problem in endemic areas, asin our country. It can affect any organ in the body especially the liver. Surgery is stillthe procedure of choice in most cases of H D, despite other methods of treatmentavailable.Objectives : The aim of this study is to know the prevalence of hepatic hydatidosis(H H) , and to study presentation , types of treatment, surgical procedures andcomplications.Methodes: 126 patients with H H were treated in Hammad Shihab military hospital in5 years period ( from July 1997 to June 2002 ) . 122 patients were treated surgically.Results: (74.6%) of patients hailed from rural area. Most of the patients were female,with male to female ratio (M : F) was 1 : 2 . ( 32.53%) of patients were between 31and 40 years and the mean age was ( 35.46 ) years .(75.3%) of patients presented with abdominal pain or discomfort . The disease wasdiscovered incidentally in (17.46%) . Isolated liver was involved in ( 66.7 % ). Theright lobe of the liver was affected in ( 80.95 % ) . ( 67.4 % ) of cases had singlehydatid cyst ( H C ) . Synchronous pulmonary hydatid cyst (P H C) occurred in(7.9%) of cases.Post operative complications ocurred in ( 3.2 % ) included (1.6%) developedrecurrent hepatic hydatid cyst (H H C ) , (0.8%) had subphrenic abscess and (0.8%)experienced biliary cutaneous fistula .Conclusion: The right lobe of the liver was the commonest location of H H C . Thecommonest presentation was abdominal pain or discomfort. All patients with HHCshould be investigated for synchronous P H C.