Hydatid cysts Flashcards
1
Q
cause
A
caused by the tapeworm parasite Echinococcus granulosus
2
Q
type of hypersensitivity reaction
A
type 1
3
Q
what is it?
A
An outer fibrous capsule is formed containing multiple small daughter cysts
These cysts are allergens which precipitate a type 1 hypersensitivity reaction.
4
Q
where do 90% of cysts occur
A
liver
lungs
5
Q
when are the cysts symptomatic
A
> 5cm in diameter
6
Q
what is morbidity causes
A
infection and organ dysfunction (biliary, bronchial, renal and cerebrospinal fluid outflow obstruction)
7
Q
what is the classical triad in biliary rupture?
A
biliary colic
jaundice
urticaria
8
Q
investigations
A
- imaging - US 1st line then CT
- serology (antibody/antigen tests)
9
Q
Mx
A
surgery