Challenging complications of hydatid disease

Abstract

242 patients with hydatid disease were operated on between 1988 and 1998. There were 144 female (59.5%) and 98 male (40.5%) aged 16 to 83 years (mean 42 years) Pain, chills, malaise, jaundice and fever were the other major symptoms on admissions The localisation of 149 single cysts (61.6%) was in right lobe, 57 single cysts (23.6%) in left lobe, 14 multiple cysts (5.7%) in both lobes. and 22 multiple cysts (9.0%) both in liver and in other parenchymal organs, in tissues and in abdominal cavity. Thirty eight cases (15.7%) were recurrent hydatidoses. The treatement procedures that applied to the cysts were partial cystectomy-drainage in 204 cases (83.3%), total cystectomy in 23 cases (9.5%), liver resection in 7 cases (2.9). and percutaneous drainage in 8 cases (3.3%). Serious problems due to sudden ruptures. cysto-biliary connections and recurrences are the most challenging complications of the disease.