Amongst the cause of cystic hepatic disease ,hydatid cyst is common in the Asia ,
South ... The definitive therapy for hepatic hydatid disease is surgical resection.
*OREDO-RXUQDORI6FLHQFH(QJLQHHULQJDQG7HFKQRORJ\ ,661 ,VVXHSS 6SHFLDO,VVXHLQ 0HGLFLQHDQG *-6(73XEOLVKLQJ 3KDUPDFRORJ\ KWWS ZZZJMVHWRUJ
/LYHUK\GDWLGF\VWDQGDFXWHFKRODQJLWLV DFDVHUHSRUW
%HK]DG1HPDWL+RQDU 0'0RKDPPDGUH]D1LNVKRDU0'0RMJDQ)RURRWDQ0'$OL 0RKDPPDG)HL]L0'*KRODPKRVVHLQ+\DWROODK0'6DKDU0LU]DHH0'=DKUD 0DOHNL0'
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
5HVLGHQW RI JHQHUDO VXUJHU\ ,PDP +RVVHLQ PHGLFDO FHQWHU 6KDKLG %HKHVKWL XQLYHUVLW\ RI PHGLFDO VFLHQFHV 7HKUDQ,UDQ
*OREDO-RXUQDORI6FLHQFH(QJLQHHULQJDQG7HFKQRORJ\ ,661 ,VVXHSS 6SHFLDO,VVXHLQ 0HGLFLQHDQG *-6(73XEOLVKLQJ 3KDUPDFRORJ\ KWWS ZZZJMVHWRUJ
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
*OREDO-RXUQDORI6FLHQFH(QJLQHHHULQJDQG7HFKQRORJ\ ,661 ,VVXHSS 6SHFLDO,VVXHLQ 0HGLFLQHDQG G *-6(73XEOLVKLQJ 3KDUPDFRORJ\ KWWS ZZZJMVHWRUJ
)LJ /LYHU K\GDWLG F\VW DQG GLODWHG &%'
)LJ K\GDWLG F\VW FRPPXQLFDWLQJ ZLWK )LJGDXJKWHUF\VW,Q&%' ELOHGXFW
)LJ&\VWRELLOLDU\ILVWXOD
)LLJGDXJKWHUF\VWDQGGHEUL
*OREDO-RXUQDORI6FLHQFH(QJLQHHULQJDQG7HFKQRORJ\ ,661 ,VVXHSS 6SHFLDO,VVXHLQ 0HGLFLQHDQG *-6(73XEOLVKLQJ 3KDUPDFRORJ\ KWWS ZZZJMVHWRUJ
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
5HIHUHQFHV $UDQ/DLQJ0'DQG3DUYH]0DQWU\0' $ &DVH RI +HSDWLF +\GDWLGV &DXVLQJ %LOLDU\ 2EVWUXFWLRQ $ &DVH 5HSRUW DQG 5HYLHZ RI WKH OLWHUDWXUH35$&7,&$/*$6752(17(52/2*
