What is Liver lesions(Hydatid disease)?
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Hydatid disease, also known as Echinococcosis, is a parasitic infection caused by the tapeworm Echinococcus granulosus or Echinococcus multilocularis. This condition leads to the formation of fluid-filled cysts, primarily in the liver, known as hydatid cysts. If left untreated, these cysts can grow, causing complications such as rupture, infection, and pressure on surrounding organs.
Causes of Hydatid Disease
Parasitic Infection – Transmission occurs through ingestion of Echinococcus eggs, commonly found in contaminated food, water, or through contact with infected animals.
Exposure to Infected Hosts – Dogs and other canines serve as the primary carriers of the parasite, shedding eggs in their feces.
Consumption of Contaminated Food – Eating raw or undercooked vegetables and drinking unclean water increases the risk of infection.
Symptoms of Hydatid Disease
Often asymptomatic in early stages
Abdominal pain or discomfort
Nausea and vomiting
Jaundice (if bile ducts are obstructed)
Enlarged liver or palpable mass
Allergic reactions in case of cyst rupture
Diagnosis
Dr. Vikram Lotwala utilizes advanced diagnostic methods to identify hydatid cysts in the liver:
Ultrasound – The first-line imaging tool to detect cystic lesions.
CT Scan / MRI – Provides detailed imaging to assess cyst size, location, and complications.
Serological Tests – Blood tests to detect antibodies against Echinococcus.
Fine Needle Aspiration (FNA) – In select cases, aspiration is performed for diagnostic confirmation under expert supervision.
Treatment Options
The treatment of GOO depends on the underlying cause and severity of the obstruction. Dr. Vikram Lotwala offers a range of effective treatment options, including:
The choice of treatment depends on the cyst’s size, location, and presence of complications. Dr. Vikram Lotwala offers both medical and surgical management for effective treatment.
Medical Management
Antiparasitic Medications – Albendazole or Mebendazole to shrink and prevent cyst growth.
Close Monitoring – Small, asymptomatic cysts may be observed with regular imaging.
Minimally Invasive & Surgical Treatments
PAIRS (Puncture, Aspiration, Injection, Reaspiration) – A minimally invasive technique using a needle to drain the cyst and inject a scolicidal agent.
Laparoscopic Hydatid Cystectomy – A keyhole surgical approach to remove cysts with minimal scarring and faster recovery.
Open Surgery – In cases of large or complicated cysts, open surgery is performed for complete removal and bile duct reconstruction if necessary.
Why Choose Dr. Vikram Lotwala?
Dr. Vikram Lotwala is a highly experienced specialist in liver diseases and minimally invasive surgery. With expertise in treating hydatid disease, he ensures comprehensive patient care with a focus on accurate diagnosis, effective treatment, and long-term prevention.
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Early diagnosis and timely treatment of Hydatid Disease can prevent severe complications. If you suspect a liver lesion or have been diagnosed with a hydatid cyst, contact Dr. Vikram Lotwala today for expert consultation and treatment.