Hydatid cyst of the middle mediastinum complicated by fistulated ascending aorta: A case report and review of the literature

Mehri, Ali; Esparham, Ali; Tashnizi, Mohammad Abbasi; Rezaei, Reza

doi:10.1002/ccr3.7212

Clinical Case Reports

2023

DOI: 10.1002/ccr3.7212

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Hydatid cyst of the middle mediastinum complicated by fistulated ascending aorta: A case report and review of the literature

Ali Mehri

Ali Esparham

Mohammad Abbasi Tashnizi

et al.

Abstract: Clinicians must pay attention to the clinical presentation and consequences of hydatid cysts in rare sites. Cysts close to the aorta require planning and assistance of a cardiac or vascular surgeon before surgical intervention can be considered.

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2024

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Cited by 2 publications

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Primary extraperitoneal hydatid cyst, a rare differential diagnosis of subdiaphragmatic mass: A case report

Ghandhari,

Mehri,

Doostparast

et al. 2024

Clinical Case Reports

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Key Clinical MessageHydatid cyst is a sly disease that can manifest with a spectrum of symptoms in almost every part of the human body, so it is crucial to be familiar with different scenarios that a patient may present.AbstractThe echinococcus granulosus parasite causes hydatid disease and is common in areas with animal husbandry and agriculture. Here, we report a middle age woman who presented with abdominal pain that further investigation revealed a cyst in subdiaphragmatic area.

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Primary extraperitoneal hydatid cyst, a rare differential diagnosis of subdiaphragmatic mass: A case report

Ghandhari,

Mehri,

Doostparast

et al. 2024

Clinical Case Reports

Self Cite

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Comparison of cystectomy and lobectomy of lung hydatid cyst in pediatrics: a retrospective study

Behnia,

Shojaeian,

Mazandarani

et al. 2024

Annals of Medicine &Amp; Surgery

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Objective: Hydatid cyst is an endemic disease in Iran. The treatment of choice for pediatric lung hydatid cysts is surgical removal of the cyst. However, due to its high prevalence the risk of recurrence after the surgery, cystectomy with capitonnage, which preserves the lung tissue, is a favorable surgical approach compared to lobectomy. Herein, we compared the outcome of cystectomy and lobectomy of lung hydatid cysts. Methods & Materials: This is a retrospective study conducted in the pediatric surgery department. Pediatric patients who had undergone surgery due to pulmonary hydatid cysts were enrolled. The patients were divided into two groups including cystectomy and non-anatomic lobectomy. Then, the length of surgery, length of hospitalization, postoperative complications, and the time required to remove the chest tube were calculated in each group. Results: A total of 32 patients were enrolled in this retrospective study. Age, sex, location, and size of cysts were not significantly different between the two groups. The duration of surgery in the lobectomy and cystectomy groups was 116.3±33.7 versus 116.1±28.2 minutes, respectively (P=0.53). Surgery complications including the need for blood transfusion, pneumothorax, need for bronchoscopy and atelectasis were not different between the study groups. The mean time for first chest tube removal was significantly different between the groups with the lobectomy group having a shorter time (P=0.02). The length of hospital and ICU stay were not different between the two surgical procedures. The time to remove the first chest tube was significantly higher in cystectomy compared to lobectomy (P=0.02). Conclusion: The complications and outcome of the cystectomy are comparable to the lobectomy technique. However, the cystectomy method has the advantage of preserving the lung tissue, therefore it’s a favorable technique in endemic areas for hydatid cysts where reoperation may be indicated.

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Hydatid cyst of the middle mediastinum complicated by fistulated ascending aorta: A case report and review of the literature

Abstract: Clinicians must pay attention to the clinical presentation and consequences of hydatid cysts in rare sites. Cysts close to the aorta require planning and assistance of a cardiac or vascular surgeon before surgical intervention can be considered.

Cited by 2 publications

References 23 publications

Primary extraperitoneal hydatid cyst, a rare differential diagnosis of subdiaphragmatic mass: A case report

Primary extraperitoneal hydatid cyst, a rare differential diagnosis of subdiaphragmatic mass: A case report

Comparison of cystectomy and lobectomy of lung hydatid cyst in pediatrics: a retrospective study

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