THE CHANGING PATTERN OF HYDATID DISEASE, WITH SPECIAL REFERENCE TO HYDATID OF THE LIVER

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Abstract
A survey has been made of 86 proven cases of hydatid disease seen in Western Australian teaching hospitals from 1957 to 1971. There was a preponderance of elderly patients and of Aboriginals. The liver was involved in 61 cases and the lung in 23. Hepatic hydatids were often clinically silent incidental findings, but caused enlargement of the liver, jaundice, and epigastric pain. The most valuable diagnostic results were elevation of the serum alkaline phosphatase level, radiological examinations, and isotope scanning of the liver. The Casoni Intradermal test more often gave a positive and specific result than the complement‐ fixation test.

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