The actual prevalence of hydatid disease in northern part of India is found more than usually interpreted. The present study has been done on 25 patients suffering from hydatid disease of various sites and treated during June 2009 to November 2011 at JLN Medical College and Hospital, Ajmer, with the aim of studying the clinical manifestations of hydatid disease of different sites and/or organ system and of analysing the morbidity and mortality of hydatid disease. The age, sex, h/o dog contact, duration of hospital stay, clinical presentation, treatment advised, findings and difficulties encountered during operation, and postoperative management of patients as well as morbidity and mortality were recorded and analysed. We observed that the mean age was 40 years. The sex incidence revealed female preponderance in the study (M?:?F: 1?:?2). Duration of illness in the present study varied from 1 month to 6 years in case of liver hydatid disease. Majority of patients were from rural areas (21) and the remaining (4) from urban areas. Swelling was the most common presenting feature. Incidence of hydatid disease at unusual sites in India is higher than in other parts of the world. 1. Introduction Hydatid disease is endemic mainly in the Mediterranean countries (particularly Greece), the Middle East, the Baltic areas, South America, India, northern China, and other sheep-raising areas; however, owing to increased travel and tourism all over the world, it can be found anywhere, even in developed countries [1]. In India, hydatid disease is common in most of the states of which Andhra Pradesh and Tamil Nadu predominate [2]. The liver is the most common site for hydatid disease (75% of cases), followed by lungs (15%), spleen (5%), and other organs (5%) [3]. The diagnosis of hydatid disease is based on epidemiological background of patients, clinical grounds, or noninvasive screening procedures. Chest and abdominal X-ray, ultrasonography, and CT scan should identify cysts characteristics and the diagnosis is confirmed by detecting specific antibodies (immunodiagnostic test). Intradermal Casoni test, the human basophil degradation test, and the complement fixation test have only historical relevance [4]. Only albendazole drug is ovicidal, larvicidal, and vermicidal [5]. Surgery is the gold standard in the management of hydatid cyst liver and other sites as well [6]. With this background, we decided to study the presenting symptomatology and various clinical manifestations of hydatid disease of different sites and/or organ system and to analyse the morbidity and
References
[1]
W. K. J. Huizinga, C. S. Grant, and A. S. Daar, “Hydatid disease,” in Oxford Textbook of Surgery, P. J. Morris and W. C. Wood, Eds., pp. 3298–3305, Oxford University Press, 2nd edition, 2000.
[2]
A. K. Amir Jahed, R. Fardin, A. Farzad, and K. Bakshandeh, “Clinical echinococcosis,” Annals of Surgery, vol. 182, no. 5, pp. 541–546, 1975.
[3]
M. Safioleas, I. S. Stamoulis, S. Theocharis, K. Moulakakis, S. Makris, and A. Kostakis, “Primary hydatid disease of the gallbladder: a rare clinical entity,” Journal of Hepato-Biliary-Pancreatic Surgery, vol. 11, no. 5, pp. 352–356, 2004.
[4]
H. Dew, Hydatid Disease: Its Pathology, Diagnosis and Treatment, Sydney Australian Medical Publishing, 1928.
[5]
K. I. Bland, M. P. Callery, G. P. Clagett, D. B. Jones, and J. E. Fischer, Mastery of Surgery, vol. 1, 2008.
[6]
D. Dugalic, V. Djukic, and M. Milicevic, “Operative procedures in the management of liver hydatidoses,” World Journal of Surgery, vol. 6, no. 1, pp. 115–118, 1982.
[7]
H. S. Bhatt and T. S. Carman, “Hydatid disease with special teference to liver cysts,” Indian Journal of Surgery, vol. 18, p. 57, 1956.
[8]
S. M. Wagle and M. B. wagle, “Hydatid disease two case report in breast,” Indian Journal of Surgery, vol. 25, p. 610, 1973.
[9]
K. Sudarshan, M. S. Sharma, and F. C. Eggleston, “Management of hydatid disesas,” Archives of Surgery, vol. 99, p. 59, 1969.
[10]
R. N. Sibal and P. Singh, “Hydatid disease in Himachal Pradesh,” Journal of the Indian Medical Association, vol. 63, no. 7, pp. 211–213, 1974.
[11]
A. A. Balik, M. Ba?o?lu, F. ?debi et al., “Surgical treatment of hydatid disease of the liver: review of 304 cases,” Archives of Surgery, vol. 134, no. 2, pp. 166–169, 1999.
[12]
M. Ertem, T. Karahasanoglu, N. Yavuz, and S. Erguney, “Laparoscopically treated liver hydatid cysts,” Archives of Surgery, vol. 137, no. 10, pp. 1170–1173, 2002.
[13]
C. Palanivelu, K. Jani, V. Malladi et al., “Laparoscopic management of hepatic hydatid disease,” Journal of the Society of Laparoendoscopic Surgeons, vol. 10, no. 1, pp. 56–62, 2006.
[14]
K. A. Krishnamurthy, “Collective review hydatid disease in children of maural,” Indian Journal of Pediatrics, vol. 6, p. 302, 1969.
[15]
B. I. Dalal, C. L. Gupta, and V. V. Joshi, “Portal hypertension: a complication of hydatid cyst of liver,” Indian Pediatrics, vol. 14, no. 7, pp. 567–568, 1977.
[16]
J. C. Gupta, C. I. Nagrath, and K. M. salgia, “Hydatid disease in man,” Journal of Indian Medical Association, vol. 46, p. 649, 1966.
[17]
S. K. Bhobhate, G. P. Kedar, and V. A. Kher, “Incidence of hydatid disease in bidharbha division,” Indian Journal of Surgery, vol. 46, p. 162, 2004.
[18]
S. A. Trivedi and J. M. Navavaty, “Pulmonary hydatd diseae,” Journal of Indian Medical Association, vol. 44, p. 4, 1965.
[19]
N. Islam, N. Alam, and H. Rashid, “Hydatid disease in bangaladesh,” Indian Medical Gazette, vol. 16, p. 179, 1976.
[20]
R. Maingot, Abdominal Operations, vol. 2, 11th edition, 2004.
[21]
S. A. Davolio Marani, G. C. Canossi, F. A. Nicoli, G. P. Alberti, S. G. Monni, and P. M. Casolo, “Hydatid disease: MR imaging study,” Radiology, vol. 175, no. 3, pp. 701–706, 1990.
[22]
J. Borrie, “Fifty thoracic hydatid cysts,” The British Journal of Surgery, vol. 50, pp. 268–287, 1962.
[23]
J. W. Lewis, N. Koss, and M. D. kerslan, “A review of echinoccocal disease,” Annals of Surgery, vol. 181, no. 4, pp. 390–396, 1975.
[24]
S. K. Saxena, S. K. Chaudhary, G. R. Saxena, and S. Rao, “Hydatid cyst of the parotid gland (a case report),” Journal of Postgraduate Medicine, vol. 29, no. 2, pp. 105–106, 1983.