Pleural complications of hydatid disease

Aribas, Olgun Kadir; Kanat, Fikret; Görmüş, Niyazi; Turk, E.H.

doi:10.1067/mtc.2002.119341

Cited by 87 publications

(117 citation statements)

References 18 publications

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“…Pulmonary echinococcosis can follow intrathoracic rupture of a cyst of the liver [12], but most patients with pulmonary hydatid disease do not show liver involvement [13]. Within the chest, echinococcosis can primarily involve the pleural cavity [14], mediastinum [15] and chest wall [16].…”

Section: Organ Involvementmentioning

confidence: 99%

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Pulmonary echinococcosis

Morar¹,

Feldman²

2003

Eur Respir J

270

317

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Section: Organ Involvementmentioning

confidence: 99%

“…The lung is generally treated first [55]. Surgery is indicated in most cases of pulmonary cystic echinococcosis as operative mortality is low (1-2%), morbidity rates are acceptable and the recurrence rate is low (1-3%) [11,14,37,48,56,57].…”

Section: Managementmentioning

confidence: 99%

Pulmonary echinococcosis

Morar¹,

Feldman²

2003

Eur Respir J

270

317

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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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“…Antihelmintik tedavide albendazol ya da mebendazol gibi benzimidazoller kullanı-lır. Doz ve tedavi süresi olarak standartize edilmiş bir süreç olmamakla birlikte, haftalık dinlenme aralarıyla aylık kürler halinde 3-6 ay devam edilmesi önerilmektedir (7,8). Ameliyat sonrası dönemde cerrahi iyileşmenin hemen ardından hastamıza albendazole tedavisi başlandı ve 3 ay süre ile devam ettirildi.…”

Section: Discussionunclassified

An Extraordinary Case Of Intrathoracic Extrapulmonary Hydatid Cyst

Tözüm¹,

Yalman²,

Eren³

et al. 2014

Respir Case Rep

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On iki yıl önce kist hidatik tanısı ile sol alt lobektomi ve splenektomi yapılmış olan yirmi dört yaşındaki erkek hasta, sol yan ağrısı şikâyeti ile başvurdu. Yapı-lan radyolojik incelemelerde, üzüm salkımı görüntüsü olarak tariflenebilecek görüntüler elde edildi. Hastaya bu halde nüks kist hidatik ön tanısı ile sol eksploratrif torakotomi yapıldı. Üst lob altında, diafragma ile çok sıkı yapışıklıklar geliştirmiş ve içi yüzlerce kız vezikülle dolu büyük bir poş bulundu. Poş temizlendiğinde diafragmanın orta kısmının da erimiş olduğu ve buradan batına açılan bir ağızla benzer bir kist poşunun da retroperitoneal bölgede yerleşmiş olduğu tespit edildi. Diafragma açılarak retroperitoneal poş da uygun şekilde boşaltılıp, temizlendi. Hasta postoperatif 16. ayda sorunsuz olarak takip edilmektedir. Anahtar Sözcükler:Hidatik kist, intratorasik ekstrapulmoner, kistektomi, albendazol.A 24-year-old male, who had a history of left lower lobectomy and splenectomy due to hydatid cyst 12 years ago, applied to our clinic with a severe pain localized in the left hemithorax that had continued for approximately six months. Radiological studies displayed interesting images resembling "a bunch of grapes". An exploratory thoracotomy was performed with an initial diagnosis of recurrent hydatid cyst. Beneath the left upper lobe, a giant pleural pouch with tight adhesions extending to the diaphragm was present. Inside the pouch, hundreds of daughter cysts were observed. In the middle of the diaphragm there was a dissolved area and with an opening from this point, a similar pouch located at the retroperitoneal space was found. With a transdiaphragmatic approach, both pouches were drained and cleaned appropriately. At the 16th month of postoperative follow-up, patient had no complaints.

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Pleural complications of hydatid disease

Cited by 87 publications

References 18 publications

Pulmonary echinococcosis

Pulmonary echinococcosis

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

An Extraordinary Case Of Intrathoracic Extrapulmonary Hydatid Cyst

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