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Category:1997 disestablishments in MassachusettsSpontaneous resolution of symptomatic cysticercosis of the liver.
A case of multiple, cystic hepatic hydatid disease is presented. A complete clinical resolution of the disease was achieved without specific therapy for a period of 8 years. The mechanism of spontaneous resolution of this type of hepatic hydatid disease is discussed. The need for further research on the pathogenesis of this disease is emphasized.
When in doubt, heres the basics:
DIAGNOSIS:
This is the most reliable. There is always a high risk for the patient.
CT:
Although you will find calcification, the presence of lung lesions is a contraindication.
Although ultrasound is a very good test, even with the best imagers, the presence of multiple cysts is indicative of multiple cysticercosis (there can be more than one cyst).
MRI:
The best imagers can detect as little as 1 cm(3) of fluid.
DIAGNOSIS:
Still not very reliable, as there may be a lot of comorbid conditions and even false positive cases in some cases.
SURGICAL:
It is a major operation. With major complications, up to 5-6% of the patients will die.
FINAL:
Surgical treatment is the only therapy which will completely clear the disease.
INVESTIGATIONS:
None of the standard biochemical tests are really useful.
There is a chance that the patient may have infection.
INVESTIGATION:
During the operation, the cystic contents are checked for pepsinogen.
The recurrence rate is 10-20%.
The recurrence can happen within one year of the surgery.
The recurrence can happen months or even years after the surgery.
The recurrence can happen after 5 years, but if the disease is detected early, it can be cleared with one or two treatments.
FINAL:
This is one of the most difficult and ac619d1d87
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