title: 14 years hospital based study on clinical and morphological spectrum of hydatid disease.
abstract: BACKGROUND
  Hydatid disease is endemic in sheep and cattle-raising areas worldwide. Its prevalence is high in Nepal. The study was carried out to determine the clinical, radiological and pathological presentations of hydatid disease.
  
  
  METHODS
  This was a retrospective study of all hydatid disease cases reported in Department of Pathology, from August 1996 to July 2010. All the clinical, radiological and pathological data were collected and collated.
  
  
  RESULTS
  A total of 51 cases of hydatidosis were studied. Patients presented with related symptoms in 47 cases, 92.16% with CI (84.78, 99.54) and asymptomatic in four cases, 7.84% with CI (0.46, 15.22). Involvement of liver and lung was found in 35 (68.63%) cases and 10 (19.61%) cases respectively. Involvement of other organs like kidney, pelvis and broad ligament were seen in 6 of the cases. Total 29 cases, 56.86% with CI (43.2, 70.46) had solitary cyst while rest of the cases had multiloculated cyst. All cases had radiological correlation and histopathological conﬁrmation.
  
  
  CONCLUSIONS
  Most cases presented with organ related vague symptoms, however it should be considered as a differential diagnosis especially in asymptomatic cases and cases with unusual sites. Imaging studies is useful in preoperative diagnosis and postoperative histopathology is conﬁrmatory. A multicentric hospital based study will help to decrease the incidence.
authors.affiliation: Department of Pathology, Manipal College of Medical Sciences.
authors.forename: Dilasma
authors.initials: D
authors.lastname: Ghartimagar
authors.affiliation: Department of Pathology, Manipal College of Medical Sciences.
authors.forename: Arnab
authors.initials: A
authors.lastname: Ghosh
authors.affiliation: Department of Radiology, Gandaki Medical College.
authors.forename: Manish Kiran
authors.initials: MK
authors.lastname: Shrestha
authors.affiliation: Department of Pathology, Manipal College of Medical Sciences.
authors.forename: O P
authors.initials: OP
authors.lastname: Talwar
authors.affiliation: Department of Community Medicine, Manipal College of Medical Sciences, Pokhara, Kaski, Nepal.
authors.forename: Brijesh
authors.initials: B
authors.lastname: Sathian
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D004443:Echinococcosis / Q000175:diagnosis* / Q000453:epidemiology / Q000473:pathology; D004445:Echinococcosis, Pulmonary / Q000000981:diagnostic imaging; D006801:Humans; D008875:Middle Aged; D009390:Nepal / Q000453:epidemiology; D011859:Radiography; D012189:Retrospective Studies; D055815:Young Adult