Syed Nizamuddin.
Management of hydatid disease of liver.
Pak J Surg Jan ;22(4):208-10.

Objective: To study the pattern of presentation, diagnosis and treatment of Hydatid disease of Liver. Design & Duration: A retrospective study from April 2002 to March 2004. Setting: Department of Surgery, Civil Hospital, Karachi. Patients: All patients admitted with Hydatid disease of the Liver. Methodology: The case sheets of all these patients were studied in detail to retrieve the relevant data. Results: A total of 44 cases, 24 females and 20 males, presented during the study. Most cases were seen in the age group of 20 to 40 years. The scolicidal agents used included formalin, hypochlorite solution, hypertonic saline and silver nitrate; no major reactions to these were noted. The right lobe of the liver was involved in the majority of the cases. All cases underwent laparotomy; the hydatid fluid was aspirated, scolicidal agent injected into the cyst cavity, and hydatid cyst was removed in toto or piece meal. Conclusion: Hydatid cysts are common in our rural areas. Stray dogs should be eliminated from the society while there should be strict hygienic care of the pet dogs. All vegetables should be washed thoroughly before eating raw and the public made aware of the condition and its hazards.

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