True bout hydatid disease
.Indications for drug therapy - 4 days prior to intervention and to continue it for 1 month (albendazole) to 3 months (mebendazole) after the intervention. - Inoperable cysts. - Multiple or multiorgan cysts. -Recurrent hydatids. - Surgically unfit patients. - Cysts in lungs, bone, brain, eyes. * Contraindications - Large cysts. - Honeycomb cysts (with septae). - Infected cysts. Commonly cyst enlarges and is palpable per abdomen. * It may cause complications like jaundice due to pressure over the biliary tree. * Rupture into the peritoneal cavity causes an anaphylactic reaction which may cause life-threatening shock, requiring proper management with steroids. * Rupture into biliary channels is commonest (60%). Rupture into the bowel, pleural cavity can occur. Ref: SRB&;s manual of surgery,3 rd ed, pg no 534
MC site is lung
Pre-op Albendazole followed by surgery is the treatment of choice
20% saline is scolicidal
Puncute, aspiration, injection reaspiration (PAIR) done in hepatic hydatids
G.I.T