Hydatid disease of the liver. a 5 year Jordanian experience

ABSTRACT

The records of 85 consecutive cases of hydatid disease of the liver that were treated surgically between 1990 and 1994 at the King Hussein Medical Center [KHMC] were reviewed. Diagnosis was made using clinical, serological, and imaging techniques. All patients were underwent surgery. In 50 cases the cysts were not complicated [group 1], and in 35 cases the cysts were infected or ruptured, and thus could be classified according to Lewall and McCorkell as contained, communicating, and direct, [group 2]. Three forms of surgical treatment were used I] Cyst evacuation, scolicidal irrigation, and primary cyst clousure; 2] Cyst evacuation scolicidal, irrigation, and external tube drainage; 3] Partial cyst resection and omentoplasty. Albendozole was used post operatively in 15 cases with multiple herpatic hydatidosis. Patients have been followed annually with indirect haemoagglutination test [IHA] for three years. Active or recurrent cases were encountered in patients. Conclusions: Omentoplasty with partial cyst resection has led to shorter hospitalization and lowered biliary leak. Medical treatment with albendzole proved to be effective especially in cases of multiple hydatid cyst