GIT

Comment

Comment by Dr. Chandra Sundararajan Maudar on June 1, 2009 at 1:40pm

Dr. Rad, want to correct myself.The ablation of h. cysts with cetrimide,hypertonic saline, thermic energy or radiofrequency are all basically scolicidal.So separation of the germinal layer (endocyst)does not remove the infective potential of the scolices inside. If there is a leak or rupture of this cyst, infection can spread. Wonder if the rupture is a stimulus to formation of more daughter cells?

Comment by Dr. Chandra Sundararajan Maudar on May 31, 2009 at 1:54pm

Dr. Rad,she was around 20 yrs with innocous pain abdomen.CT picture looked like a mesenteric cyst but USG correlation showed the typical delaminated endocyst resulting in the Water Lily sign. If there was intraperitoneal rupture, surely there would have been severe anaphylaxis as well as implantation of the protoscolices leading to more daughter cysts in the peritoneum. In a detachment like this ( of the peri and endocyst), I would presume death of the protoscolices, after all ablation is a method of treatment of such cysts. Will definitely let you in on any follow up.Do let me know your comments.Also there is a very similar case in my album with daughter cells , without detachment. Please have a look.

Comment by saeed rad on May 31, 2009 at 11:52am

Very nice case. Please tell us if this detachment resulted in the production of daughter cysts? Usually ectocyst is lying between the pericyst and endocyst, as far as i know, and daughter cysts are caused usually by enrolled rupture of the endocyst.