What is the inpatient care for hydatid cysts?

Updated: May 07, 2019
  • Author: Imad S Dandan, MD; Chief Editor: BS Anand, MD  more...
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Answer

Inpatient care for individuals who have had surgical resection of their hydatid cyst(s) is similar to that for any other surgical procedure on the affected organ.

Special consideration must be made for patients with hepatic cystic echinococcosis (CE) who were found to have biliary communication. These patients must be observed for signs and symptoms of either biliary obstruction or fistula formation. If either of these complications occurs, the patient must be treated by percutaneous or endoscopic stenting of the biliary tree with or without sphincteroplasty.

Postoperatively, treatment with benzimidazoles is continued for approximately 1 month, although the exact duration has not been determined.

Antibiotics are used prophylactically for surgery as indicated in patients with a cystobiliary fistula, for the treatment of infected cysts, and for the treatment of associated infections. Benzimidazoles are continued after discharge.


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