3. Dr.H.parsa General and vascalar surgeon
Hydatid-liver cyst
Dr.H.parsa
General and vascalar surgeon

4. Flat worm
- Echinococcis granulosis - E.multilocularis(alveolar) (more aggressive less localised)

5. Etiology:
E.Granulosis 5mm hermaphroditic

6. Man is an accidental,intermediate host - Vegetables - Meet

7. Hematagen
- Live(65%) – brain - Lungs 25% muscle 5-10% - Spleen bone

8. Liver single Right lobe 80%

9. Cyst three layers outer pen cyst thin host. deff
Cyst three layers outer pen cyst thin host.deff.layer liver,spleen is seen but in lung and brain is absent

10. Peri cyst support the h.cyst metabolic in terface between host and parasit calcification.

11. Laminated memberane
- Only parasit - 1-2mm

12. Gerinal layer Forming daughter cyst

13. Hydatid cyst fluid 70 cm H2O - alkalin

14. Diagnosis:
Incidentally CT scan Serologiclest(Eosinophiba)

15. جدول

16. IgE priorSen.or active IgE more spelenic

17. Serumimunoelectrophoresis the most reliable test 90% 1year.

18. Complement fixation <6months Elisa test Western Blot(Eimultiloculasis)

19. Casoni skin test in past sitive for years

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