Hydatid Disease

Hydatid Disease

Pathology:                Cysts due to echinococcus granulosa.


Aetiology:                 Consider in UK farmers, endemic in the Mediterranean, Australia, New Zealand, the Middle East, South America, Iceland and part of Africa.


Symptoms:               Can be asymptomatic, right upper quadrant pain


Signs:                          Hepatomegaly


Investigations:      Imaging: Ultrasound Abdomen may show hepatic cysts

Microbiology: Hydatid serology positive


Treatment:              Conservative: No treatment if asymptomatic

Medical: Albendazole

Surgical: Incision and Drainage


Complications:      Infection, rupture of biliary tree


Prognosis:                Prognosis is generally good with surgical input


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