An unusual presentation of secondary pleural hydatidosis

Aguilar, Xavier; Fernández-Muixí, J.; Magarolas, R.; Saurí, A.; Vidal, Francesc; Richart, C

doi:10.1183/09031936.98.11010243

“…Three different forms of SPH have been described: pleural granulomatosis, hydatidothorax, and a pleural hydatid graft (26). When pleural effusion and/or pyopneumothorax are detected in a patient with previous hepatic or lung cystic hydatid disease, the possibility of secondary pleural dissemination should be considered (1).…”

Section: Intrapleural and Chest Wallmentioning

confidence: 99%

Pictorial Review. Uncommon Locations of Hydatid Cysts

Kıreşi

¹

,

Karabacakoğlu

²

,

Ödev

³

et al. 2003

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Hydatid disease is endemic in many parts of the world. It may develop in almost any part of the body. The location is mostly hepatic (75%) and pulmonary (15%), and only 10% occur in the rest of the body. In this article, the various imaging findings of hydatid cysts in unusual localizations are reviewed, based on our experience. Findings in brain, cavernous sinus, submandibular gland, thyroid gland, heart, pleura, chest wall, retrocrural tissue, kidney, spleen, pancreas, peritoneal cavity and inguinal canal, breast, bone and soft tissue are discussed.

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“…Three different forms of SPH have been described: pleural granulomatosis, hydatidothorax, and a pleural hydatid graft (26). When pleural effusion and/or pyopneumothorax are detected in a patient with previous hepatic or lung cystic hydatid disease, the possibility of secondary pleural dissemination should be considered (1). CT and MRI can show and localize the lesions and may be helpful for a correct diagnosis (Fig.…”

Section: Intrapleural and Chest Wallmentioning

confidence: 99%

Pictorial Review: Uncommon locations of hydatid cysts

Karabacakoğlu

¹

,

Ödev

²

,

Karaköse

³

2003

View full text Add to dashboard Cite

Hydatid disease is endemic in many parts of the world. It may develop in almost any part of the body. The location is mostly hepatic (75%) and pulmonary (15%), and only 10% occur in the rest of the body. In this article, the various imaging findings of hydatid cysts in unusual localizations are reviewed, based on our experience. Findings in brain, cavernous sinus, submandibular gland, thyroid gland, heart, pleura, chest wall, retrocrural tissue, kidney, spleen, pancreas, peritoneal cavity and inguinal canal, breast, bone and soft tissue are discussed.

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“…Pleural manifestation may develop as a complication of pulmonary hydatid disease, which does not involve a parasitic infestation [6][7][8][9]. The rupture of a hydatid cyst in the pleura can cause a wide range of clinical and radiographic symptoms, such as pneumothorax, hydropneumothorax, empyema, abscess formation, pleural thickening, and tension pneumothorax, to develop in the pleural area.…”

Section: Introductionmentioning

confidence: 99%

Surgical Treatment of Pulmonary Hydatid Cysts, Which Perforated to the Pleura

Sayır¹,

Çobanoğlu²,

Şehitoğulları³

2012

EAJM

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Objective: Hydatid cyst disease, endemic in Eastern region of Turkey, is a significant parasitic public health problem. In this study, pleural complications of hydatid cysts were presented in 76 cases. Materials and Methods:In our study, of the 412 pulmonary hydatid cyst cases operated on between 2003 and 2011, 76 cases had ruptured into the pleura for various reasons, and the different clinicoradiological presentations were evaluated retrospectively. The age distribution of the cases was between 7 and 56 years, and the mean age was 26.20±13.04. Results:The most frequent symptom due to pleural rupture in patients was dyspnea (44 cases, 57.8%). Etiologically, iatrogenic perforation was detected in four cases and thoracic trauma in nine cases (six car accidents and three falls from a height). An anthelmintic drug use history was found in three cases of ruptured pleura. Spontaneous perforation was detected in the other 60 (78.9%) cases. Two cases that were admitted to the emergency unit and were immediately administered a tube thoracostomy developed tension pneumothorax. In addition, 21 cases had hydropneumothorax, 17 had pneumothorax, and 36 had pleurisy. Morbidity was observed in 30 cases (39.4%). Atelectasis was the most frequent cause of morbidity in these patients (10 cases). The mean duration of hospitalization was determined to be 12.26±2.90 days. Conclusion:This disease can progress asymptomatically for a long time and can sometimes lead to life-threatening emergency situations, such as tension pneumothorax. The delayed admission of a patient to a physician causes the disease to become more complicated and to increase the morbidity and mortality rates. Treatment of the disease is in the form of surgery. Possible parenchymal protection should be applied in surgical treatment, and anatomic resection should not be performed unless necessary.Key Words: Empyema, Capitonnage, Pleura, Rupture Özet Amaç: Kist hidatik hastalığı, yöremizin ve ülkemizin endemik olarak görülen önemli bir paraziter-halk sağlığı sorunudur. Kist hidatik hastalığı, asemptomatik olarak seyredebildiği gibi, tansiyon pnömo-toraks gibi hayatiyet arzeden önemli komplikasyonlarla da kendini gösterebilir. Çalışmamızda kist hidatiğin plevral komplikasyonları 76 olgu temelinde sunulmuştur. Gereç ve Yöntem:2003-2011 yılları arasında opere edilen 412 akciğer kist hidatikli olgudan, plevraya çeşitli nedenlerle ve değişik klinikradyolojik presentasyonlarla rüptüre olan 76 olgu retrospektif olarak değerlendirildi. Olguların 42'si erkek, 34'ü kadındı. Olguların yaş dağılımı 7-56 arasında ve ortalama yaş 26.20±13.04 olarak belirlendi. Bulgular:Plevral rüptür nedeniyle olgularda en sık gözlenen semptom dispne oldu (44 olgu, %57.8). Etyolojide 4 olguda iatrojenik perforasyon, 9 olguda toraks travması (6 olgu araç içi trafik kazası, 3 olguda yüksekten düşme) tesbit edildi. Plevraya rüptüre 3 olguda daha önceden antihelmintik ilaç alımı söz konusuydu. Diğer 60 (%78.9) olguda spontan perforasyon tesbit edildi. Acil ünitesine başvuran ve derhal tüp tora...

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An unusual presentation of secondary pleural hydatidosis

Cited by 18 publications

References 8 publications

Pictorial Review. Uncommon Locations of Hydatid Cysts

Pictorial Review. Uncommon Locations of Hydatid Cysts

Pictorial Review: Uncommon locations of hydatid cysts

Surgical Treatment of Pulmonary Hydatid Cysts, Which Perforated to the Pleura

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