Complicated hydatid cysts of the lung: clinical and therapeutic issues

Kuzucu, Akın; Soysal, Ömer; Özgel, Mehmet; Yoloğlu, Saim

doi:10.1016/j.athoracsur.2003.09.046

Cited by 138 publications

(146 citation statements)

References 16 publications

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“…There are various opinions regarding the medical treatment of hydatid cysts, but the cure rates of anthelmintic treatment are not greater than 30-35% [18]. In addition, anthelmintic treatment causes serious complications requiring urgent intervention, such as pneumothorax and massive hemoptysis, as we observed in three cases in our study.…”

Section: Discussionsupporting

confidence: 51%

“…Resection should not be avoided if complications, depending on significant infection, develop or if there is bronchiectasis. In the literature, the rate of resective surgery is approximately 0-7% for intact cyst surgery and 19-32% for complicated cysts [18]. Although wedge resection was performed on five of the cases with pleural perforation, a lobectomy was performed in one patient whose upper right lobe was almost completely destroyed.…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionsupporting

confidence: 51%

Section: Discussionmentioning

confidence: 99%

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

Sayır¹,

Çobanoğlu²,

Şehitoğulları³

2012

EAJM

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“…The antigens released stimulate the mast cells, and histamine secretion increases. Although it is rare, allergic reactions or life-threatening anaphylaxis may develop (Kuzucu et al, 2004;Yüceyar et al, 2004). Wen and Yang (1997) reported a 77.3% incidence of ruptured cyst in 21 patients they treated with albendazole.…”

Section: Discussionmentioning

confidence: 99%

Treatment strategy for hydatid cysts with multiorgan involvement/localization

Şengül¹,

Büyükkarabacak²,

Yetim³

et al. 2013

jecm

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IntroductionHydatid cyst is a parasitic disease commonly observed in developing countries, where agriculture and animal breeding are widespread, and preventive medicine is not sufficient. Its incidence in Turkey is 2 in 100,000 people (Tatar et al., 2003).Hydatid cysts are caused by Echinococcus granulosus. Although the adult form of the parasite develops in the small intestine of main hosts carnivores such as dogs, wolves, and jackals. The larvae of the parasite settle in different organs of intermediate host herbivores such as cattle, sheep or goats, and humans and cause unilocular cystic Echinococcosis. When ingested by humans, the larval form of the parasite is broken down in the stomach, and the released embryo reaches the liver through the portal system. The disease is observed mostly in the liver (60%), which has a rich capillary network. Embryos that have passed the liver arrive in the right side of the heart via hepatic veins and the vena cava, ultimately reaching the pulmonary capillaries, where they embed themselves and cause the disease in the lungs (30%). Embryos that have entered the systemic circulation and cause the disease in other organs (10%) (Yüksel ve Kalaycı, 2001;Kılıç et al., 2010). Materials and methodsEighty patients treated and followed in our clinic for hydatid cyst between 2001 and 2011 were retrospectively studied. All of the patients were examined with chest X-Ray, computed tomography and ultrasonography. While the localizations of hydatid cysts of lung and liver were determined by using computed tomography (CT) and ultrasound (USG), for cardiac hydatid cysts, echocardiography and magnetic resonance imaging MRI were used. Twenty-four patients with multiorgan hydatid cysts were studied for the symptoms, localizations of cysts, complications and results of medical and surgical treatment. ResultsOf the patients, 12 were female and 12 were male. The mean age was 35 (13-76) years. The most common symptoms were

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“…Ruptured pulmonary hydatid cysts generally present with chest pain (49%), cough (46%), dyspnea (42%), hemoptysis (33%), fever (36%), and sputum production (33%), whereas only 3% of patients with ruptured pulmonary hydatid cyst are asymptomatic. 5 Anaphylactic shock is a rare reaction to a ruptured pulmonary hydatid cyst. 2,3 In our patient, shock and respiratory distress were present, but other diagnostic symptoms such as rash and edema were absent.…”

Section: Discussionmentioning

confidence: 99%

Ruptured Pulmonary Hydatid Cyst With Anaphylactic Shock and Pneumothorax

et al. 2011

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Hydatid cyst is a disease caused by a parasitic tapeworm, Echinococcus granulosus, and most commonly involves liver and lung. Ruptured pulmonary hydatid cyst can present a diagnostic challenge, and radiograph can be inconclusive. Anaphylactic reaction is a rare complication of ruptured pulmonary hydatid cyst. A 22-year-old male came to our emergency department in shock with symptoms of shortness of breath and altered mental status from the previous day. Radiograph showed a thin-walled circular translucent area in the right upper lung field, which was misdiagnosed as pneumothorax, and an intercostal chest tube was inserted. After 5 days, repeat radiograph revealed a cavity with an air/fluid level. The chest tube was removed and contrast-enhanced computed tomogram showed a cavity with water-lily sign, which suggests ruptured hydatid cyst. Immunoglobin-G enzyme-linked immunosorbent assay for Echinococcus was positive. The patient responded well to treatment with crystalloid infusion, supplemental oxygen, and albendazole, and then underwent surgery. Anaphylactic reaction due to rupture of a hydatid cyst is rare, but hydatid disease should be suspected in patients from areas where Echinococcus is endemic.

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Complicated hydatid cysts of the lung: clinical and therapeutic issues

Cited by 138 publications

References 16 publications

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

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

Treatment strategy for hydatid cysts with multiorgan involvement/localization

Ruptured Pulmonary Hydatid Cyst With Anaphylactic Shock and Pneumothorax

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