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THE PATTERN OF HYDATID DISEASE

Abstract

Background

Hydatid disease is a common but seldom reported disease in Himachal Pradesh, India. This paper reports Hydatid disease presenting to a remote hospital in the foothills of the Himalayas.

Methods

Records of 115 patients presenting with Hydatid disease to the Lady Willingdon Hospital, Manali , from April 1996 to March 2007 were reviewed. Site, sex distribution, presentation, scolicidal agent and surgical technique used were recorded. Outcome measures were mortality and morbidity.

Results

70 patients were female and 46 were male. (One female patient was operated on twice). 78% (n=90) of the occurrences were hepatic. Extrahepatic sites were spleen, lesser sac, ovaries (n=2), retroperitoneum, broad ligament, mesocolon, renal (n=2), and mesentery. There were fourteen pulmonary hydatids, 10 in the right lobe and 4 in the left. All patients underwent surgical cystectomy. Thirty two patients after March 2003 underwent scolicidal deactivation using an intraoperative modification of the