Hepaticothoracic transdiaphragmatic echinococcosis

Freixinet, J.; Mesters, Carlos A.; Cugat, Esteban; Mateu, Mercè; Gimferrer, Josep María; Catalán, Miguel; Callejas, M.A.; Letang, Emílio; Sánchez-Lloret, Juan

doi:10.1016/s0003-4975(98)90018-2

Cited by 25 publications

(32 citation statements)

References 3 publications

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“…The liver and lungs are the most frequently involved organs of this disease. The incidence of simultaneous liver and lung involvement has been reported to be between 5.8 and 13.3% based on various reports (32)(33)(34)(35). According to our study, the liver is the most common infected site of hydatid disease (71%), followed by the lungs (16.1%) and other organs (12.9%), being in accordance with other studies (36,37).…”

Section: Discussionsupporting

confidence: 91%

Clinical Features of Hydatid Disease in Guilan (the North Province of Iran): A Ten-Year Study

Mansour-Ghanaei

Joukar

Soati

et al. 2012

Arch Clin Infect Dis

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Background: Hydatid cyst disease (HCD) or echinococcosis has a worldwide distribution and is endemic in many countries of Mediterranean region. In Iran, due to various climatic conditions, the rate of the disease is diverse in different parts. The most infected regions are the domains of Alborz and Zagros Mountains where there is a high rate of ruminants and the main carrier of people are animal husbandry. Due to the importance of this zoonotic helminth and the lack of information about hydatid cyst disease in Guilan province, we conducted a retrospective study from 2000 to 2010 to evaluate the HCD inpatients in this region. Objectives: The aims of the study are to evaluate HCD inpatients and to review the clinical presentations of different organs affected by cysts and postoperative outcomes of hydatid cyst in Guilan province. Materials and Methods: A retrospective descriptive investigation was performed by reviewing the medical records of patients with HCD, admitted to four private and governmental hospitals, in Rasht, capital of Guilan province from 2000 -2010. Results: Sixty-two patients (38 males, 24 females) with a mean age of 46.38 ± 18.36 years (aged between 8 and 81 years old), with HCD were evaluated. In the 40 -60 years old group, there was highest rate of HCD (40.3%). Housewives had the highest rate of infection (40.3%) followed by farmers (22.6%), pupil (8.1%), animal husbandries (6.5%) and others (22.6%). The most prevalent complaint of the patients with liver involvement were abdominal pain (75%) and nausea and vomiting (9.1%) and the most common findings of the inpatients with lung involvement the most common complaint was cough (40%). Seventy one percent of the patients had liver involvement and 16.1% had lung involvement. The most common diagnostic method was ultrasonography (48.14%). Computed tomography was diagnostic in 43.20% of cases and chest X-ray in 8.6% of cases. Overall, 96.8% of patients were cured and the mortality rate was 3.2%. Conclusions: Echinococcosis is still an important health problem in Iran that needs further studies. Therefore, accurate information on the distribution of the disease is the first step to control and prevent it. In general, the situation of the hydatidosis in the human in Guilan shows somehow a resemblance with the other areas in Iran.

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Section: Discussionsupporting

confidence: 91%

Clinical Features of Hydatid Disease in Guilan (the North Province of Iran): A Ten-Year Study

Mansour-Ghanaei

Joukar

Soati

et al. 2012

Arch Clin Infect Dis

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“…Thoracotomy offers adequate simultaneous access to both the chest and hepatic lesions. 8,10,12,13 Other authors use only laparotomy to treat this disease. 7,9,14 Some authors have recommended endoscopic sphincterotomy for relief of biliary obstruction.…”

Section: Discussion Of Managementmentioning

confidence: 99%

Intrathoracic Rupture of Hepatic Hydatid Cyst- A Rare Complication of Hydatid Disease

Dalal¹,

Dalal²,

Singh³

et al. 2018

jebmh

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“…Therefore mortality is high, ranging from 9% to 43% in the literature (2,3,9-11). Recurrence may be observed during follow-up (11,12,13,14).…”

Section: Discussion Discussionmentioning

confidence: 99%

Thoracic Involvement of Liver Hydatid Cyst - Case Series and Review of Literature

Berbece¹,

Blajut²,

Ciurea³

et al. 2016

JTMR

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Aims: Hydatidosis, caused by Echinococcus granulosus, is an endemic parasitic disease in Mediterranean countries. The most frequent anatomic locations are liver and lung. Intrathoracic rupture of hydatid cysts situated in the hepatic dome is a serious complication resulting in damage to the pleura, pulmonary parenchyma, and bronchi. Material and Metods: From 2005 to 2014 we operated on 853 patients with liver hydatid cysts, 4 of thme having intrathoracic rupture of a hepatic hydatid cyst. Hepatic and thoracic ultrasonography was performed in all cases. The diagnosis of intrathoracic rupture of a liver cyst was confirmed in all patients. Results: In two cases a combined thoracic and abdominal approach was used, in one case a thoracic approach with phrenotomy was preferred, and in one case an abdominal approach with phrenotomy was chosen. The postoperative course was somewhat uneventful in 3 cases, but 1 patients died due to pulmonary embolism. Conclusions: The therapeutic approach depends on ultrasonographic and computer tomography findings (CT). We believe CT-scan to be the best examination for assessing biliary, hepatic, diaphragmatic, and pleuropulmonary lesions. An abdominal approach is necessary when biliary duct drainage is required, and it may be sufficient in cases of direct rupture into the bronchi.

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Hepaticothoracic transdiaphragmatic echinococcosis

Cited by 25 publications

References 3 publications

Clinical Features of Hydatid Disease in Guilan (the North Province of Iran): A Ten-Year Study

Clinical Features of Hydatid Disease in Guilan (the North Province of Iran): A Ten-Year Study

Intrathoracic Rupture of Hepatic Hydatid Cyst- A Rare Complication of Hydatid Disease

Thoracic Involvement of Liver Hydatid Cyst - Case Series and Review of Literature

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