A Case of Ruptured Pulmonary Hydatid Cyst of the Liver and Review of the Literature

Abstract

Background Hydatid cyst is an endemic disease frequently localized to the liver. It is frequently observed in Southeast Europe, Middle East, and Turkey. Although the cyst rupture can occur spontaneously, it can also occur upon albendazole treatment. Its surgical treatment includes cystotomy, capitonnage, and wedge resection. Material-Method A 56-year-old male immigrant was admitted with fever, pain, and cough. Albendazole treatment was initiated and elective surgery was planned. Upon his admission to emergency service, he was diagnosed with pneumonia, and a spontaneous cyst rupture was detected. Result Thoracotomy and cystotomy were performed. Bile leakage aspiration and lung wedge resection were also performed. Conclusion Different surgical methods are used in the treatment of hydatid cysts depending on the localization and complications. Follow-up with antihelminthic drugs such as albendazole and mebendazole is recommended in medical treatment.

Acquired right-sided diaphragmatic hernia in a patient with retroperitoneal hydatidosis: a case report and review of the literature

“…Interestingly, 34 cases were found in the English literature reporting this causative potential of hydatid disease, none of which was retroperitoneal in position or a consequence of spontaneous erosion, highlighting the uniqueness of the present case [ 6 – 12 ]. Table 1 compares the cases in terms of patient presentation, surgical management and postoperative course.…”

“…of patients Year of publication Demographics (age and sex) Presenting symptoms Primary organ involved Surgical approach Method of repair Postoperative course Bulut et al . [ 6 ] 1 2017 56 years Male Dyspnea, RUQ pain and fever Liver Thoracotomy Primary repair Bronchopleural fistula Hachim et al . [ 7 ] 1 2017 34 years Male RUQ pain, weight loss and fatigue Liver Laparotomy A unique approach was followed where hydatid cysts were evacuated, and the superior capsule of the cyst was kept in place to separate the thoracic and abdominal compartments Uneventful Kahraman [ 8 ] 1 2017 40 years Male Dyspnea and abdominal pain Liver Thoracotomy Primary repair Uneventful Gunal et al .…”

Hydatid disease among adults and children: it is time to worry!

“…As for HC treatment, radical surgery was the most effective therapy (14), while conservative surgery was associated with significantly higher recurrence and morbidity rates (15). In fact, using Albendazole increased the incidence of spontaneous rupture of HC, but continuing medical treatment can result in complete recovery and eliminate the need for surgery (16,17). Therefore, effective treatment includes both chemotherapy and surgery.…”

Ruptured hydatid liver cyst complicated with pleural empyema: a long way to the diagnosis

“…[4] Symptoms depend on the location of the lesion and may include cough, fever, dyspnea and hypotension resembling pneumonia. [5] Article information Open This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (CC BY-NC-SA 4.0), allowing anyone to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited, distributed under the same license, and used for noncommercial purposes only.…”