From January 1991 to December 1993, 55 hydatid
lesions in 51 patients were managed in Al Quassim Region
Saudi Arabia in 3 Hospitals.
Diagnosis was made using clinical criteriae, serology,
and imaging techniques. Extra hepatic hydatid cysts were
present in 34.6% of our patients (Lung 22%, spleen 3.6%,
peritoneal cavity 3.6%, pelvis 1.8%, greater omentum 1.8%
and Breast 1.8%) .
Four patients had undergone previous surgery for
hydatid disease. Forty four of our patients were operated upon
out of which 14 with extra hepatic disease (9 excision via
thoracotomy, 1 splenectomy, I partial cystectomy of splenic
cyst, 1 excision of intra peritoneal cystes, 1 exision of pelvic
cyst and 1 excision of breast cyst.
The mean hospital stay for extra hepatic cysts was 10.5
days. There was no mortality or major complications in this
study. Patients were followed up every 6 months with a mean
follow up of 2.2 ± 0.5 years no recurrence could be detected
during this period |