Abstract

The clinical presentation of hydatid disease of the liver depends on several factors which include location and the size of cyst, the stage of development and whether the cyst is alive or dead. The majority of patients with hydatid liver disease have indolent presentation in an otherwise healthy individual. Almost 75% of patients are asymptomatic, and hydatid cyst is detected as an accidental finding during a routine examination (Stephen et al. 1997). The cyst is usually more than 5 cm, when symptoms do occur. In symptomatic patients, the most common complaint is the dull aching pain in the right upper quadrant (80%) followed by dyspepsia and vomiting in 50% of patients. Diaphragmatic pain can be seen in cysts protruding from the superior surface of the liver.

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