Unintentional percutaneous aspiration of a pleural hydatid cyst.

Karawi, M. A. Al; Mohamed, A R; Tayeb, B O el; Yasawy, Mohamed I.

doi:10.1136/thx.46.11.859

Cited by 23 publications

(13 citation statements)

References 5 publications

(1 reference statement)

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“…Characteristic signs on MRI, which cannot be well demonstrated on CT, make recognition of hydatid disease possible in equivocal cases [24,25]. Fine-needle aspiration cytology has been used for the diagnosis in difficult cases [16] or in non-endemic areas where hydatid disease has not been considered in the differential diagnosis [26,27]. Our belief, which is in agreement with that of others [28], pointed to the fact that the disadvantages of percutaneous needle aspiration outweight its advantages.…”

Section: Discussionsupporting

confidence: 78%

Management of Hydatid Disease of the Lung

Ammari¹,

Heis²

2001

Eur Surg Res

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The objective of this study is to report our experience in the management of pulmonary hydatid disease. Fourteen patients, 6 females and 8 males, ranging in age from 6 to 35 years were seen over a period of 7 years at a Princess Basma Teaching Hospital. Most of them had a single and isolated primary lung cyst. All patients were treated by the open method without resection through a posterolateral thoracotomy. Follow-up was maintained for 5 years with chest X-ray and indirect haemagglutination test performed annually. In conclusion, the lung-preserving operation without resection or capitonnage is the treatment of choice for pulmonary hydatid disease.

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Section: Discussionsupporting

confidence: 78%

Management of Hydatid Disease of the Lung

Ammari¹,

Heis²

2001

Eur Surg Res

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“…Thoracic hydatid cysts are diagnosed on the basis of radiological findings [14,15]. As a result of pleural complications, the diagnosis could be incorrect, and eliminating hydatid cyst as a diagnosis may be difficult.…”

Section: Discussionmentioning

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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“…In a later report, three viable, noninfected echinococcal cysts of the lung were unintentionally punctured by transthoracic aspiration. Unintentional percutaneous aspiration of a pleural hydatid cyst was reported by Karawi et al [19] who performed repeated aspiration of pleural effusion caused by hydatid disease. Cystobronchial communication was seen in all three cases.…”

Section: Discussionmentioning

confidence: 91%

“…In the recent literature, there are several reports on percutaneous treatment of abdominal hydatid cysts and unintended percutaneous aspiration of pulmonary hydatid cysts [9][10][11][12][13][14][15][16][17][18][19]. The aim of this study was to assess the effectiveness of the percutaneous treatment of pulmonary hydatid disease as an alternative to surgical treatment in selected patients in whom medical treatment had failed.…”

mentioning

confidence: 99%