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cause
echinococcus granulosus

dog tapeworm

man infected by eggs
features
-classical hydatid thrill(three finger test)
-anaphylaxis
-rupture
-enlargement
-spread
-plueral effusion
-rupture into biliary channels
-rupture into peritoneum
-secondary infection
-jaundice
-calcification
camellotte sign
following intrabiliary rupture,gas enters into cyst causing collapse of cyst wall.
CT scan
cart wheel appearance
aspiration avoided
due to risk of anaphylaxis
treatment
medical:
albendazole one month prior to intervention
mebendazole 3 months after intervention
praziquantel

PAIR
puncture-aspiration-injection-reaspiration


surgery
gold standard
abdomen opened
peritoneal cavity packed with black mops(to visualise scolices)