Abstract
Hepatic hydatid disease is very common in Libya. In Zliten hospital, we operated 400 patients with hepatic hydatid cysts over period of 20 years. All patients were symptomatic. Their ages varied from 3 to 85 years including 215 female and 185 male patients. Their symptoms varied from abdominal pain to abdominal mass 67 patients were admitted through Accident and Emergency Department with acute presentations including fever, skin rash, jaundice and shock with acute abdominal pain. Those 67 patients had necessary investigations, resuscitation and underwent emergency surgery. The hepatic cysts in all patients were excised, and the obstructive jaundice was cleared in those patients with obstructive jaundice. Unfortunately, one of the patients died two days after the surgery because of multiple organ failure (MOF) Morbidity was wound Infection, bile leak and recurrence rate were all reported in our series.
Highlights
Hydatid is a disease caused by tape worm called ecchinococcous granulosis and ecchinococcous multilocularis
Group A - 45 patients were presented with abdominal pain and obstructive jaundice
Sixty seven patients with hepatic hydatid cysts were admitted through Accident and Emergency Department of Zliten hospital with acute symptoms
Summary
Hydatid is a disease caused by tape worm called ecchinococcous granulosis and ecchinococcous multilocularis. Hydatid disease is endemic in some regions in the world and Libya is one of the endemic countries of hydatid disease among the Middle East countries. This disease is common in sheepherder regions. Dogs are the definitive host and sheep is the intermediate host. Human gets the infection by eating contaminated vegetables by dogs' waste or by direct contact with dogs. Infection rate is higher in places where dogs are fed with infected carcasses and offal. Liver is the commonest organ involved in human as well as lung, kidneys,spleen, bones and soft tissues. Symptoms depend on the size of the cyst, the organ involved and the complications from the cyst
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