Clinical Spectrum and Management of hydatidosis – A Prospective Study

  • Dr. Sanjay Pandey Senior Consultant, Department of Surgery, District Female Hospital, Mirzapur, Uttar Pradesh, India
  • Dr. Rakesh Kumar Shukla Assistant Professor of Anatomy, ASMC, Mirzapur, Uttar Pradesh, India
  • Dr. Kavita Chawla Professor of Physiology, MLNMC, Prayagraj, Uttar Pradesh, India
  • Dr. Archana Mishra Assistant Professor of Biochemistry, MLNMC, Prayagraj, Uttar Pradesh, India
Keywords: Multiple hydatid cysts, Hydatid Cyst, Hydatidosis, Mini – Thoracotomy

Abstract

Aim: The objective of this original research article is a Clinical Spectrum and Management of hydatidosis – A Prospective Study.

Material & method: -The present study includes 150 patients with intrathoracic space-occupying lesions, of which 24 patients with Hydatid cyst were seen at SS hospital Banaras Hindu University, Varanasi, UP. Most of the patients studied were from the thoracic surgery section, while few patients were taken from other departments of SS hospital. The age of those patients varied widely, starting from 10 years to 60 years. During this study, patients were investigated in systemic order with the progression of symptoms from the onset, development of latest symptoms and treatment taken before if any, history of tuberculosis, chronic cough, smoking, and contact with were recorded. The patient's vitals were recorded, and routine pathological investigation including blood count, hemoglobin and specific procedure like radiological method, Casoni diagnostic test and bronchoscopy were performed. Twenty-one patients operated, and successful enucleation of the cyst was done in eighteen cases by mini-thoracotomy.

Result: Maximum patients were in the age group of 41 to 50 years. The maximum age group was 60 years, and the minimum age group was ten years. Maximum age group 21-30 years, among which this has been observed. No cases were seen above 41 years of age. Hemoglobin was found adequate among the cases. Total Leucocytes count was found higher among the patients. In 63% cases, found above 10000 per microliter. ESR found raised among the patients and in 50% of cases observed more than 40 mm in 1st hour. Cough with/without expectoration, Chest pain, and Dyspnoea were observed in almost all cases. The right side of the Lung had 50% involvement; the Left side of the Lung had 37.5% involvement, whereas 12.5% bilateral involvement.

Conclusion: Mini-thoracotomy is an efficient and safe option for managing intact or ruptured solitary pulmonary hydatid cysts.

Downloads

Download data is not yet available.

References

PUMP KK. Echinococcosis (hydatid disease): a review and report of a case of secondary Echinococcosis. Can Med Assoc J. 1963 Jul 13;89(2):73-8.

Barnes TS, Deplazes P, Gottstein B, Jenkins DJ, Mathis A, Siles-Lucas M, et al. Challenges for diagnosis and control of cystic hydatid disease. Acta Trop. 2012 Jul;123(1):1-7. doi: 10.1016/j.actatropica.2012.02.066.

Vuitton DA. Echinococcosis and allergy. Clin Rev Allergy Immunol. 2004 Apr;26(2):93-104. doi: 10.1007/s12016-004-0004-2.

Irabedra P, Ferreira C, Sayes J, Elola S, Rodríguez M, Morel N, et al. Control programme for cystic echinococcosis in Uruguay. Mem Inst Oswaldo Cruz. 2016 May 24;111(6):372-7. doi: 10.1590/0074-02760160070.

Romero-Torres R, Campbell JR. An interpretive review of the surgical treatment of hydatid disease. Surg Gynecol Obstet. 1965 Oct;121(4):851-64.

Palanivelu C, Jani K, Malladi V, Senthilkumar R, Rajan PS, Sendhilkumar K, et al. Laparoscopic management of hepatic hydatid disease. JSLS. 2006 Jan-Mar;10(1):56-62.

Buia A, Stockhausen F, Hanisch E. Laparoscopic surgery: A qualified systematic review. World J Methodol. 2015 Dec 26;5(4):238-54. doi: 10.5662/wjm.v5.i4.238.

Zaharie, Florin, et al. "Open or laparoscopic treatment for hydatid disease of the liver? A 10-year single-institution experience." Surgical endoscopy 27.6 (2013): 2110-2116.

Guidelines for treatment of cystic and alveolar Echinococcosis in humans. WHO Informal Working Group on Echinococcosis. Bull World Health Organ. 1996;74(3):231-42.

Bagheri R, Haghi SZ, Amini M, Fattahi AS, Noorshafiee S. Pulmonary hydatid cyst: analysis of 1024 cases. Gen Thorac Cardiovasc Surg. 2011 Feb;59(2):105-9. doi: 10.1007/s11748-010-0690-z.

Kayal A, Hussain A. A comprehensive prospective clinical study of hydatid disease. ISRN Gastroenterol. 2014 Mar 9;2014:514757. doi: 10.1155/2014/514757.

Shields, T. W., Reed, C., LoCicero III, J., & Feins, R. General Thoracic surgery 7th edition. Philadelphia, LWW. (2009).

Kurul IC, Topcu S, Altinok T, Yazici U, Tastepe I, Kaya S, Cetin G. One-stage operation for hydatid disease of Lung and liver: principles of treatment. J Thorac Cardiovasc Surg. 2002 Dec;124(6):1212-5. doi: 10.1067/mtc.2002.127314.

Lone GN, Bhat MA, Ali N, Bashir A, Garcoo SA. Single-stage bilateral minimally invasive approach for pulmonary hydatid disease: an alternative technique. J Thorac Cardiovasc Surg. 2002 Nov;124(5):1021-4. doi: 10.1067/mtc.2002.122315.

Biswas, B., Ghosh, D., Bhattacharjee, R., Patra, A., Basuthakur, S., & Basu, R. One stage surgical management of hydatid cyst of Lung & liver—by right thoracotomy & phrenotomy. Indian Journal of Thoracic and Cardiovascular Surgery, 20.2 (2004). 88-90.

Aydin, Y., Çelik, M., ULAŞ, A. B., & EROĞLU, A. Transdiaphragmatic approach to liver and lung hydatid cysts. Turkish Journal of Medical Sciences, 42.Sup 2 (2012):1388-1393.

Biswas, B., Ghosh, D., Bhattacharjee, R., Patra, A., Basuthakur, S., & Basu, R. One stage bilateral thoracotomy for hydatid cysts of both lungs. Indian Journal of Thoracic and Cardiovascular Surgery, 20.3 (2004): 126-128.

Auldist, Alex W., and Russell Blakelock. "Pulmonary hydatid disease." Pediatric Thoracic Surgery. Springer, London, 2009. 161-167.

Usluer O, Kaya SO, Samancilar O, Ceylan KC, Gursoy S. The effect of preoperative albendazole treatment on the cuticular membranes of pulmonary hydatid cysts: should it be administered preoperatively? Kardiochir Torakochirurgia Pol. 2014 Mar;11(1):26-9. doi: 10.5114/kitp.2014.41926.

Erdogan A, Ayten A, Kabukcu H, Demircan A. One-stage transthoracic operation for the treatment of right lung and liver hydatid cysts. World J Surg. 2005 Dec;29(12):1680-6. doi: 10.1007/s00268-005-0130-x.

Uchikov AP, Shipkov CD, Prisadov G. Treatment of lung hydatidosis by VATS: a preliminary report. Can J Surg. 2004 Oct;47(5):380-1.

Creţu CM, Codreanu RR, Mastalier B, Popa LG, Cordoş I, Beuran M, et al. Albendazole associated to surgery or minimally invasive procedures for hydatid disease--how much and how long. Chirurgia (Bucur). 2012 Jan-Feb;107(1):15-21.

Ettayebi, F., and M. Benhannou. "Echinococcus granulosus cyst of the lung: treatment by thoracoscopy." Pediatric Endosurgery and Innovative Techniques 7.1 (2003): 67-70.

Parelkar SV, Gupta RK, Shah H, Sanghvi B, Gupta A, Jadhav V, et al. Experience with video-assisted thoracoscopic removal of pulmonary hydatid cysts in children. J Pediatr Surg. 2009 Apr;44(4):836-41. doi: 10.1016/j.jpedsurg.2008.11.029.

Alpay L, Lacin T, Ocakcioglu I, Evman S, Dogruyol T, Vayvada M, Baysungur V, Yalcinkaya I. Is Video-Assisted Thoracoscopic Surgery Adequate in Treatment of Pulmonary Hydatidosis? Ann Thorac Surg. 2015 Jul;100(1):258-62. doi: 10.1016/j.athoracsur.2015.03.011.

Bagheri R, Haghi SZ, Amini M, Fattahi AS, Noorshafiee S. Pulmonary hydatid cyst: analysis of 1024 cases. Gen Thorac Cardiovasc Surg. 2011 Feb;59(2):105-9. doi: 10.1007/s11748-010-0690-z.

Tullu MS, Lahiri KR, Kumar S, Oak SN. Minimal access therapy in pediatric pulmonary hydatid cysts. Pediatr Pulmonol. 2005 Jul;40(1):92-5. doi: 10.1002/ppul.20231.

How to Cite
1.
Dr. Sanjay Pandey, Dr. Rakesh Kumar Shukla, Dr. Kavita Chawla, Dr. Archana Mishra. Clinical Spectrum and Management of hydatidosis – A Prospective Study. Int J Med Res Rev [Internet]. 2021Oct.23 [cited 2024Apr.20];9(5):298-05. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/1334
Issue
Vol 9 No 5 (2021): Sep-Oct
Section
Original Article

Copyright (c) 2021 Author (s). Published by Siddharth Health Research and Social Welfare Society

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Most read articles by the same author(s)