This chapter is dedicated to the surgical complications of parasitic infestations. Although basic helminth therapy falls within the purview of infectious disease specialists, surgeons step in when mass lesions, abscesses, or mechanical obstruction of hollow organs develop.
The section covers eight key nosologies: from classic hepatic echinococcosis and alveococcosis to the surgical presentations of ascariasis, opisthorchiasis, amebiasis, filariasis, paragonimiasis, and fascioliasis. We examine the pathogenesis of tissue lesions, specific imaging findings, and strict indications for surgical intervention in detail.
In clinical settings and examinations, differential diagnosis of liver cysts (primarily echinococcal), safe intraoperative management protocols (aparasitic and antiparasitic principles), and surgical tactics for intestinal or biliary obstruction caused by an ascarid bolus are most frequently tested. Pay maximum attention to these topics.