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Unusual presentations of hydatid disease in Nassiria 1996-2003

Authors: Dr Ali Nayyef د. علي نايف عاصي --- Dr.Hazim Rissan د. حازم ريسان عكال
Journal: Thi-Qar Medical Journal مجلة ذي قار الطبية ISSN: 19929218 Year: 2008 Volume: 2 Issue: 1 Pages: 24-30
Publisher: Thi-Qar University جامعة ذي قار


ABSTRACT Background: Hydatid diseases still constitutes a serious public health problem in endemic areas in the Middle East and areas around the Mediterranean.The life cycle of this parasite exists between carnivores and herbivores, like dogs and sheep; man is an accidental intermediate host and an end-point in the parasite’s life cycle.The growth of the cyst is often insidious and becomes symptomatic only late in the course of the disease.Liver and lungs are the first and second most frequently involved organs respectively, but hydatid disease can occur in all viscera and soft tissues.Objectives: The purpose of this paper is to describe an unusual presentation of hydatid disease in this locality.Methodes: During 8 years period 1996-2003 we came across 27 unusual cases of hydatid diseases which were treated in 2nd surgical unit 5th floor al Nassiria general hospital,both elective and emergency admissions.Resultes: A total of 27 patients were admitted [8males,19 females]: The mean age was 23 years ranging from 6 years to48 years, three quarters of patients came from rural areas and commonest presenting complaint was mass. Preoperative diagnosis were positive in 45%. Liver&/or lung involved in only one fourth of the cases ,all patients undergoing surgery and also received post op treatment medical treatment.Discussion: Females are more often affected than males ,patients presented mainly in 3rd decade& the disease was more prevalent in rural population.Soft tissue hydatid is usually the only hydatid disease of the body &preoperative diagnosis were not settled in nearly 2/3rd of cases especially extra abdominal one ,majority of extra abdominal hydatid were unilocular while multilcular were common in intra abdominal oneConclusion: Hydatid disease should be considered in the differential diagnosis of all cystic masses in all anatomic locations of the study.

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