Echinococcal tension pneumothorax

Bakir, Farhan; Al-Omeri, Muayyad M.

doi:10.1136/thx.24.5.547

Cited by 21 publications

(12 citation statements)

References 5 publications

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“…It occurs more commonly in agriculture and livestock in rural life. The incidence rate is 1 in 2000, and lung involvement has been reported to be 35% [1]. According to data from the Ministry of Health of Turkey, the incidence is reported to be 14 per 100,000 [2].…”

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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Section: Introductionmentioning

confidence: 99%

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

Sayır¹,

Çobanoğlu²,

Şehitoğulları³

2012

EAJM

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“…Tension pneumothorax secondary to rupture of PHC is rare [1][2][3][4][5] . There are sporadic case reports in countries like Turkey, Iraq, UK, Italy, India, Australia, Spain and Greece with nearly 50 cases reported since 1950 [1][2][3] . The clinical picture is dominated by pneumothorax and anaphylactic reaction 1 .…”

Section: Discussionmentioning

confidence: 99%

“…It was first reported by Waddle N from Australia in 1950 6 . In Iraq, it was reported for the first time by Bakir F and Al-Omeri M in 1969 2 . Herein, we present two more cases from Iraq.…”

Section: Introductionmentioning

confidence: 94%

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20- Case Report: TENSION PNEUMOTHORAX AS A RARE PRESENTATION OF PULMONARY HYDATID CYST: A REPORT OF TWO CASES FROM IRAQ

Taha¹,

Shehatha²

2011

Basrah Journal of Surgery

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“…1 ' 6 The rupture into the pleural cavity may lead to pleural effusion and hydropneumothorax 7 or even tension pneumothorax. 8,9 Pulmonary cysts are usually found on a routine chest roentgenogram. However, our experience is different in that more than 80% of our cases, when discovered, had symptoms related to the presence of the cyst.…”

Section: Clinical Profilementioning

confidence: 99%