A Case of Recurrence of Hydatid Cyst in the Liver
A Case of Recurrence of Hydatid Cyst in the Liver
Laveena Shekhawat, Sheethal S*
ABSTRACT
Introduction: Hydatid cyst is a parasitic infection caused by Echinococcus granulosus commonly termed as dog tapeworm. However, man is an accidental host and develops symptoms of the disease in organs where the eggs get lodged, the most common being the liver. Case report: A 29-year-old male presented with pain in the right upper quadrant with radiation towards the back along with abdominal fullness for 5-7 days. Physical examination and imaging investigations were performed on the patient which revealed the diagnosis. Results: The patient underwent laparoscopic deroofing procedure and the cyst was sent to pathology and microbiology sections for laboratory diagnosis. Identification of sickle shaped hooklets on wet mount and ZN staining confirmed the diagnosis. The patient received post-operative oral albendazole which he failed to start immediately leading to recurrence of the parasitic hepatic cyst. Conclusion: Treatment is a combination of surgery and post-op anti-parasitic drugs. Delay in initiating albendazole therapy can lead to recurrence of the cysts in the same sites.
Keywords | Cystic ecchinococcosis, Ecchinococcus granulosus, Hepatic cyst, Parasitic cyst of liver, Liver parasite
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