Liver hydatid cyst may go away without any symptoms for a long time, and it can also bring many problems from jaundice to fatal allergic reactions depending on the location and size of the liver.

General Surgery Specialist Prof. Dr. Fahri Yetişir gave information on the subject.

What kind of breeding ground does the parasite find for itself?

The parasite that causes liver cyst hydatid needs predators such as dogs, jackals and wolves and ovine and bovine animals that we call grass autobuds. Mature parasite; It lives in the intestines of animals such as wolves, jackals and dogs. The parasite’s egg is thrown out with the feces of these predators. When sheep and cattle eat these parasitic eggs (grass, water …), the egg passes into their intestines and the maggot is released in the intestine, mixes into the bloodstream and settles in different parts of the body, most often in the liver, and they form gradually growing cysts. There are worms in these cysts that will form thousands of parasites. Later, when the diseased organs (containing these cysts) are eaten by animals such as wolves, jackals and dogs, the parasite reaches their intestines again, where it develops and becomes an adult parasite. In other words, the parasite needs such a cycle to reproduce.

How does it appear in man?

If the substances (food, water…) contaminated by the egg of the parasite are taken by humans by mouth, the eggs open in the intestine and the parasite that comes out of it often creates cysts in humans to settle in the liver.

Can liver hydatid cyst be transmitted from person to person?

Liver hydatid cysts cannot be transmitted from person to person. There are no parasites or eggs in human feces.

How does the disease develop?

Although this disease can be seen all over the human body, 75-80% settles in the liver. Wherever the incident occurs, a cyst filled with pressurized fluid that grows gradually occurs where the parasite settles.

Does the disease cause liver damage?

Generally, the liver cells continue to function as it makes room for itself by pushing the liver tissue, but depending on the location and size of the liver, liver functions may be impaired.

What complaints does liver hydatid cyst cause? How does it reveal itself?

There may be one or more cysts in the liver. Small cysts usually do not cause any complaints. The disease usually occurs on ultrasound and tomography performed for other reasons. Larger cysts present with complaints such as pain fullness on the right side. Sometimes, cysts may come with jaundice by compressing the bile ducts or if these cysts are infected, fever may also cause complaints such as abdominal pain.

What if the cyst is left on its own?

It usually grows larger and can spread to neighboring organs. Obstruction in the liver and other adjacent organs can cause perforation and structural defects. The emergence of these increases the risks that make it difficult to fight the disease. Therefore, when we detect this disease, we must make a treatment program immediately.

If the hydatid cyst disease is not treated, it can cause serious problems “If the cyst is ruptured by any blow, severe allergic reactions may occur, which may lead to respiratory arrest. Again, with the rupture of the cyst, the parasite can spread to the entire abdominal membrane and sometimes lead to abdominal hydatidosis, which is not fully curable. It may become abscess by snapping and cause urgent surgery. This situation can be fatal, especially in elderly patients. can cause life-threatening problems.

Treatment of liver cystitis

Treatment of liver hydatid cyst is a team work. These patients should be evaluated very well before starting treatment. The standard treatment of the disease is surgery. The surgical method is determined by variables such as the size of the cyst, its location in the liver, the number, and whether there are complications. The stage of the cyst is also very important when choosing these treatment options. In appropriate cases, needle aspiration, laparoscopic (gate operations) can be successfully applied. If minimally invasive methods fail, they can be treated with open surgery.

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