Liver hydatid cyst, multi-complication disease

Parasite is a small, 3-6 mm long trout consisting of: 4 cups scolex, 36-40 hooks and 3-4 proglottes, the last of which contains 400-800 ova, and the definitive hosts of the tape are . Detection occurs when the patient is presented to the physician either by accident, for routine analysis or with the onset of symptoms. Symptoms appear late, the cyst slowly growing in months, reaching the size of a cherry. The onset of onset is unnoticed, followed by a long, latency phase of years during which most of the signs of a hepatic dyspeptic syndrome. In the latency phase, allergic phenomena may also occur: rarely subicter, mild anemia with eosinophilia. Clinical signs - as well as radiological - will depend on the location and magnitude of the cyst: 1.

Higher location - is the most common and is usually found in the right lobe of the liver. When the volume is high, the cyst will be in contact with the diaphragm and there will be signs of diaphragmatic irritation: dry cough, hiccups, pain in the right hippocampus. 2. The liver will be enlarged as volume, will cause deformation of right hemodialysis and will push up the right hemidiaphragm. 3.

Location of the anteroinferioara will occur when the cyst is large - a bulging of the liver region, with the pushing of the ribs forward. In this location, the patient accuses pain in the epigastrum or in the right hippocampus, as a push or the appearance of some. 4. The lower location is the most difficult to diagnose, the manifestations being determined by compressions on the neighboring organs and dressing the characters of the sufferings of these organs. Radiological examinations bring precious information to determine the diagnosis.

In some cases, simple radiography allows to see the calcification of the cystic wall or hydroaeric images. Ultrasound examination of the abdomen contributes to the diagnosis of hydatidosis. The fluid inside the cysts and the hydatic sand are highlighted by the ultrasound image. However, the importance of the ultrasound exam in determining the diagnosis is dependent on the operator's experience and correct interpretation of the echographic image. The exam has an accuracy of 98%.

CT examination reveals the walls of the cyst or the presence of hydatid sand within them, and it is easy to distinguish between hydatidosis and abscesses, hemangioma or carcinoma. Endoscopic Retrograde Colangiopancreatography (ERCP) is a diagnosis and therapeutic investigation in individuals with hydatid cyst rupture in the gall bladder. The biological investigations for diagnosis are: cuticle, complement fixation, and blood count. The most common complications are rupture and suppuration, which in most cases are of gallbladder origin. Fever, jaundice, are the characteristics of cyst infection.

Saturation can be followed by opening the cyst in the stomach, duodenum, or bronchi. Positive Diagnosis Specified with clinical examination, especially in hard-to-find locations. The presence of a dog in the house is an element that can strengthen the suspicion. Radiological examination, scintigraphy (if needed, and laparotomy) can provide clarifications. Biological bugs are basic elements for diagnosis.

Differential diagnosis Differential diagnosis will include liver abscess, malignant and benign tumors, colic tumors (in the lower front locations), pancreatic pseudocysts,. Suppressed hydatid cysts open in the bile ducts can lead to confusion with angiocolites through. The perforated ones in the free peritoneum call into question the differential diagnosis of localized or diffuse peritonitis of very varied etiology. Rrognostic depends on the number of localizations and especially complications. Untreated hydatid cyst is usually a danger to the patient's future.

Following diagnosis, the doctor decides to initiate treatment either with antiparasitic drugs or with surgery for large and multiple cysts. However, standard treatment remains the surgical procedure, especially by minimal invasive procedures because postoperative recovery is much faster, the risk of complications and mortality being rather low compared to classical surgery. The treatment aims at: • Removing parasite content, taking care to sterilize the hydatid elements and prevent dissemination • Abolition of the remaining cavity, whose condition condition a number of complications such as infection • Cyst emptying is done through puncture and aspiration • Sterilization of the content is done . ConclusionsAn efficient prevention, veterinary prophylaxis was built by a national program that would include the fight against this parasite, would cause the incidence of the disease to decrease. This prevention goes from mainstream hygiene and ends with cainiol vaccination, but the need for surgical treatment shows ineffective prophylactic measures.

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