40's Hacks | clinical ✨

Echinochoccosis • hydatid disease , zoonotic disease, man is accidental intermediate host Causative organism : echinochoccosis granulosis • hydatid cysts in liver lung spleen eye brain bone •Dx : US ( show honey comb like / rosette like structure in the liver ) or immunological studies ttt: surgery ( if large with multiple daughter cysts , superficial & may rupture/ infected cysts / communicated with biliary tract / extra hepatic )>> partial cystectomy { remove endocyst + part of pericyst ) /// total cystectomy+ resection Follow up 5 years Or Percutaneous PAIR • Puncture Aspiration Injection ReAspiration • size of cyst 5-10 cm يا رب متسألش تتعمل ازاي Prophylaxis by albendazole 4 hrs before , 1 month after Puncture US guided Aspiration Reassuring no fistula formation to avoid sclerosing cholangitis then inject ethanol 95% ,wait 15 min then re aspiration Medical ; if not operaple / not fit for percutaneous therapy Albendazole meeandazole praziquantil for 3-6 months