Intraoperative endobronchial rupture of pulmonary hydatid cyst: An airway catastrophe

Gupta, R. A.; Wadhawan, Sonia; Bhadoria, Poonam

doi:10.4103/0970-9185.105817

Cited by 9 publications

(5 citation statements)

References 8 publications

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“…6 The results of medical therapy for intact pulmonary hydatid cysts have been discouraging, and patients have been documented as requiring surgery due to massive hemoptysis, severe hypersensitivity reactions, acute respiratory distress, and asphyxia. 6,9,10,14 Consequently, it has been recommended that intact pulmonary hydatid cysts encountered in fit patients should be surgically treated. Surgery is contraindicated in uncomplicated small cysts and in patients with poor respiratory reserve.…”

Section: Discussionmentioning

confidence: 99%

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Pulmonary hydatid cysts: the naturally occurring models for rupture

Ashour

Hajjar

Ishaq

et al. 2016

Asian Cardiovasc Thorac Ann

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At the fistula site, the intracystic pressure is unopposed, leading to herniation of the endocyst membrane, disruption of its integrity, and rupture. Therefore, we postulate that this scenario in combination with other coexisting factors could be the possible mechanism for cyst rupture in group 1. This concept may also explain the pathogenesis of the high rate of rupture of pulmonary hydatid cysts. Accordingly, we consider these cysts a naturally occurring model for rupture, which should be treated surgically as soon as the diagnosis is made, to avoid complications.

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Section: Discussionmentioning

confidence: 99%

“…This factor in particular may be the driving force that causes partial (Figure 3) or complete expulsion of the endocyst membrane through the bronchial fistula in major bronchi, leading to asphyxia and death in some patients. 1,4,14…”

Section: Discussionmentioning

confidence: 99%

Pulmonary hydatid cysts: the naturally occurring models for rupture

Ashour

Hajjar

Ishaq

et al. 2016

Asian Cardiovasc Thorac Ann

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“…6 Rupture can occur spontaneously when the size reaches 7-10 cm in diameter and secondarily due to an infectious process, trauma to chest, coughing or after needle aspiration. 7 Endobronchial material is expectorated spontaneously or require bronchoscopic evacuation. Extruded cyst fragments have been reported to lodge in the bronchi of the same and the opposite lung resulting in acute airway obstruction which needed an emergent bronchotomy.…”

Section: Discussionmentioning

confidence: 99%

Hydatid Cyst Presenting With Endobronchial Rupture

Adwani¹,

Karkhanis²,

Joshi³

2022

The Indian Journal of Chest Diseases and Allied Sciences

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Diagnosis of lung hydatidosis becomes difficult with unusual radiographic findings especially with rupture of hydatid cyst.Here we present the case of a patient who presented with hydatid cyst with endobronchial rupture. A 40-year-old woman presented with a 3-year history of cough with mucoid expectoration, breathlessness on exertion, intermittent fever and leftsided chest pain. Chest radiograph and computed tomography of chest showed a mass obstructing the left main bronchus and post-obstructive cavity formation. Fluorodeoxyglucose positron emission tomography (FDG-PET) showed uptake [maximum standardised uptake value (SUVmax) 2.5 G/mL) in left lower lobe cavity. Fibreoptic bronchoscopy showed obstruction of the left main bronchus with white gelatinous material. After the bronchoscope was withdrawn, the patient expectorated large quantities of this material. Histopathological examination of the aspirated membrane showed laminated acellular layer and focal inner germinal layer suggestive of hydatid cyst.

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“…It is possible that the use of a double lumen endotracheal tube may have resulted in better protection of the contralateral lung; a double lumen tube, however, is associated with its own complications. [ 9 10 ]…”

Section: Discussionmentioning

confidence: 99%

Cetrimide-chlorhexidine-induced multiorgan failure in surgery of pulmonary hydatid cyst

et al. 2016

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Savlon (0.5% cetrimide/0.05% chlorhexidine) is used as a scolicidal during surgery of hydatid cysts. It is considered a safe and effective agent. However, there are no recommendations for the appropriate concentration or dosage of these agents. Previously reported to cause severe metabolic acidosis, its effects on the pulmonary system have not been explored. We present a case of acute lung injury and respiratory distress along with acute cardiopulmonary distress, severe metabolic acidosis, and renal failure following its use during surgical removal of pulmonary hydatid cyst. The agent may act as a chemical sclerosant causing pulmonary parenchymal damage through bronchial openings present in the pericyst. Till safe dose limits are known, use of this agent should be limited, especially in large or multiple cyst surgery.

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Intraoperative endobronchial rupture of pulmonary hydatid cyst: An airway catastrophe

Cited by 9 publications

References 8 publications

Pulmonary hydatid cysts: the naturally occurring models for rupture

Pulmonary hydatid cysts: the naturally occurring models for rupture

Hydatid Cyst Presenting With Endobronchial Rupture

Cetrimide-chlorhexidine-induced multiorgan failure in surgery of pulmonary hydatid cyst

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