323 Kyste hydatique pulmonaire : à propos de 181 cas

Surgical Management for Complicated Hydatid Cyst of the Lung about 94 Cases

“…Dyspnea was also observed in 12.77% of cases, its intensity depends on the volume of the cyst which impairs respiratory function by compressing more or less extensive pulmonary parenchymal territories [15]. Hemoptysis, present in 32.99% of cases in our series, is the main functional symptom [12][13][14][15][16], it encourages the patient to consult early. According to Alaoui et al, [16], hemoptysis is often minimal in cases of hydatid cyst of the lung.…”

“…The earliest sign manifested was cough (54.26%) in our study. This can have several aspects, it can be tenacious, brief or quintuous, dry at the beginning then productive later, accompanied by mucous or mucopurulent expectoration reflecting the rupture and superinfection of the cyst [9,10].…”

“…Chest pain, found in 17.02% of cases, reflects the development of the cyst towards the pleura or the chest wall rich in nervous elements [10]. Its location depends on the cyst, its intensity is variable, most often discrete, localized or diffuse, it can be a side point type, sometimes a stab [11,12], or very rarely, a radicular type having mentioned a Pancoast and Tobias syndrome [13,14]. Dyspnea was also observed in 12.77% of cases, its intensity depends on the volume of the cyst which impairs respiratory function by compressing more or less extensive pulmonary parenchymal territories [15].…”

“…Some authors describe the cyst as voluminous when it exceeds two thirds of the lung. ipsilateral hemithorax, while others agree on the figure of 10 cm in diameter [8][9][10][11][12][13][14][15][16][17][18][19][20].…”

“…The cracked hydatid cyst results in a gaseous crescent at the upper pole (the Argentinian sign "del bandete claro"), or "gaseous meniscus" described by Morquio [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24], or also called a "gaseous crescent". This crescent is sometimes encountered in a sloping position, producing the sign of the "inverted airy crescent" linked to the existence of a localized hydatid pericystic synechia [15].…”