Clinical profile of patients with of Hydatid Cyst patients and management at a tertiary care centre

Abstract

Objective: In this study we aimed to assess the clinical profile of patients presenting to our surgical unit in the last 05 years, determined the risk factors associated with the disease and also reviewed the management options.

Methods: It is a retrospective observational study in which case records, from November 2017 to February 2024, were observed for age, gender, occupation, socioeconomic status, clinical features, radiological findings (size, site, number, status, stage ), serological test (ELISA), mode of intervention, and result of intervention(complications- cysto-biliary fistula, allergic reaction, wound complications, duration of hospitalization and death).

Result:  Of the 33 patients studied, 42.42% cases were from 31-40 years age group. 57.57% cases were males. 60.6% patients were from lower socio-economic status. Pain abdomen was the commonest symptom (84.8%) observed. Organomegaly was the commonest (63.6%) sign recorded. Isolated splenic involvement was observed in 6% cases. 51.6% of the liver hydatid cysts involved the right lobe of liver and 12.9% had bilobar involvement. Eosinophilia was observed in 15.2% cases. Raised alkaline phosphatase (63.63%) was the commonest liver function test to be deranged. 75.8% cases were managed with surgery.

Conclusion:

Hydatid disease is a neglected tropical disease and continues to be a significant public health matter in tropical and developing countries. A higher general awareness and education about the disease is vital to limit significant associated morbidity and mortality