HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Can Echinacocus Be Detected Early And Treated With Radical Surgery Even In A Case Where It Is Centrally Located?

default
Posted on Wed, 3 Apr 2024
Question: Hello !

I have question about Echinacocus (Alveolar echinococcus, Granular echinococcosis)
I have visited doctor – and he explained me that it is important to do diagnostic like untrasonografy every year – so it is posible to diagnose Echinacocus in early stage. And early treatment surgery has excellent outcome.
The question is – Is surgery always possible after early diagnose of early Echinoccousus - as i understand there could be Echinoccousus deep located in liver or some other organs.
But - Alveolar echinococcus complete excision is very important in early stage
So in early diagnose surgery in deep organs is possible, to do complete excision, avoid any problems in future ?
I hope yes – because to much overthinking make me stress


Small cysts (<4 cm) located
deep in the parenchyma of liver, if noncomplicated, can
be managed conservatively [10]. This is due mainly to
the difficulty in approaching these deeply located cysts

But there is discussed other methods

. This is mainly due to the
difficulty of approaching these deeply located cysts. Intraoperative
ultrasonography may be a helpful tool in this situation.
Despite reports of good results with percutaneous drainage and
some progress in medical treatment, surgery is still the treatment
of choice for uncomplicated hydatid disease of the liver

doctor
Answered by Dr. T Chandrakant (3 hours later)
Brief Answer:
Please give details and post actual reports.

Detailed Answer:
Hi.
Thanks for your query.
Noted the posting and understood the concerns.
Please give me additional information for me to assist you better:
Is this question for a general information or is specific for you or someone who has been diagnosed?
If yes please post all the reports for me to correlate with your query better.
Put on the list of medications that have been prescribed if advised so.
Please give any other information to have clear idea so that a proper interaction can help you well as per your expectation.

Awaiting for the details.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. T Chandrakant (1 hour later)
Hello !

I’m. healthy I’m ok ! I do ultrasonography every year for me and all my family !
I’m just want to do everything and understand everything to avoid problems to my family and best thing is to understand!
As for lot of disease the best thing is early diagnosis and appropriate treatment

If Echinacocus (Alveolar echinococcus, Granular echinococcosis) is early detected and radical surgery is done even in case were Echinacocus is Centrally Located
Is it so ?
So Echinacocus (Alveolar echinococcus, Granular echinococcosis) is treated surgically by excised entirely also if deep located in liver or some other organs.
Is it so ?
So from my side it is important to do regular screaming
doctor
Answered by Dr. T Chandrakant (4 hours later)
Brief Answer:
As detailed below.

Detailed Answer:
Very nice to know that you follow the best principle of early diagnosis.
To answer your specific queries:
Yes, it is possible now-a-day for complete removal of the disease surgically due to better understanding of disease, better imaging, advanced surgical techniques.
This is possible for any organ and even if deep seated.
Yes, so in early diagnose surgery in deep organs is possible, to do complete excision, avoid any problems in future.
Since the Ultrasonography is normal, there is nothing to worry.

And the best way is prevention. If you do not handle the dogs and such animals the problem is almost not possible.
Washing the hands with soap and water before taking food, after coming form outside helps a lot.
Avoid half cooked foods and meat products.

I hope this answers your queries and helps you to avoid unnecessary stress.
Are there any factors that give any chance of you or family members to have hydatidosis?

Take care.
Stop worrying,

With Regards.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. T Chandrakant (45 hours later)
Thank you for your help !
I was reading materials about risks factors associated to echinococcus transmission
And i understand that anyone can get it – and was reading risk factors and i was surprised about risk factor like
Contact by air –
inhaling dust containing tapeworm eggs, possibly during field work

I think it is very rare
But i don’t think it is a huge risk factor – as all of us would be infected

People can also
become infested through the inhalation of eggs
in dust on windy days or from eggs transmitted

And there were lot risk factors for AE echinococcus – but I don’t think to some i must play attention, as it would be everything is dangerous and I cannot even walk and rest with my family in forest or countryside as it would be – just sit at home and don’t move

And there where risk factor also drinking well water - but there were no more info about depth of well and so one


As i understand it is important how deep is layer of water – as it is deeper – and older echinococcus can not survive in it ! As i have been drinking fresh deep water for all my life – without any problems! Because it is deep – and rather long time in water layer.
And i was reading that humans are relative resistant to AE echinococcus

It may be assumed that a minority of individuals among humans (estimated to 1 out of 10 subjects) allows the development of the E. multilocularis metacestode after a contact with E. multilocularis oncospheres, the infectious component produced by the adult worm in the intestine of carnivores, which are definitive hosts

Is humans also resistant to E. Granulosus ?

I conclusion everyone can get echinococcus – it is important to do regular screning, and live normal life with good hygiene !
doctor
Answered by Dr. T Chandrakant (4 hours later)
Brief Answer:
Prevention is the key and see if there are known cases in your area.

Detailed Answer:
Thanks for your elucidate feedback.
The more one reads, more goes the confusion and worry too.
The prevalence rate is very low due to improved sanitation, self hygiene protocols, better understanding of disease and so on.
The best way is prevention by cleaning hands after coming home, full cooked meals, no outside unhygienic foods, avoidance of contacts with dogs and such animals.
Please see whether there are reported cases in your area; if yes then intensify the preventive measures. If no known cases then developing such diseases is very rare.
Deep water sources are not reported to be the cause.
There is very low rate of infection with E Granulosus.

And anyway you are taking all the care and screening.
So no worry at all.

Take care.
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
default
Follow up: Dr. T Chandrakant (16 hours later)
Thank you !

You are very good doctor !

The last question – I was reading and it was said if you cut Echinococcus cyst during surgery than it is bad – as it can cause anaphylactic shock - Echinococcus or if it does not occure – then Echinococcus can spread in all body !
But as i understand from literatures such cases is rare – usually with adequate operation and early detection everything will be all right !
Is it true ?
doctor
Answered by Dr. T Chandrakant (5 hours later)
Brief Answer:
Thanks for your appreciation.

Detailed Answer:
Very true.
Anaphylactic shock can be caused if the fluid is absorbed by body after rupture as it contains such proteins that cause severe reaction that is anaphylaxis.
The fluid may contain scolices and daughter cysts which can develop into hydatid cysts but this is possible only if there is spillage. It also depends upon many other factors and the chances of recurrence are not high at all. And the Surgeon takes all the precautions to be sure not to have spillage.

I hope this answer further helps you.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19777 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Can Echinacocus Be Detected Early And Treated With Radical Surgery Even In A Case Where It Is Centrally Located?

Brief Answer: Please give details and post actual reports. Detailed Answer: Hi. Thanks for your query. Noted the posting and understood the concerns. Please give me additional information for me to assist you better: Is this question for a general information or is specific for you or someone who has been diagnosed? If yes please post all the reports for me to correlate with your query better. Put on the list of medications that have been prescribed if advised so. Please give any other information to have clear idea so that a proper interaction can help you well as per your expectation. Awaiting for the details.