Giant hydatid lung cysts

Karaoğlanoğlu, Nurettin; Kürkçüoğlu, İbrahim Can; Görgüner, Metin; Eroğlu, Atilla; Türkyılmaz, Atila

doi:10.1016/s1010-7940(01)00687-x

Cited by 96 publications

(127 citation statements)

References 12 publications

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“…This situation is more common among children and young adults [16]. An extremely large hydatid cyst, in excess of 10 cm in diameter, was detected in 41 (23.29%) cases of our hydatid cyst series (412 cases).…”

Section: Discussionmentioning

confidence: 55%

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: Discussionmentioning

confidence: 55%

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

Sayır¹,

Çobanoğlu²,

Şehitoğulları³

2012

EAJM

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“…In other cases, the symptoms vary largely and are non-specific, depending on the location, size, rupture, and infection of the cysts (9). The liver and lung are the most commonly involved organs in humans; and in children, the lung is more frequently infected (10)(11)(12)(13)(14). An elevated eosinophil count in a patient from an endemic region accompanied by non-specific symptoms such as abdominal pain, abdominal mass, and cough, is suggestive of HD (15).…”

Section: Introductionmentioning

confidence: 99%

Overview of Hydatid Disease in Iranian Children

Fahimzad

Karimi

Tabatabaei

et al. 2015

Arch Pediatr Infect Dis

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Background: Hydatid disease (HD) is still an important health hazard in the world. This disease is a parasitic infestation endemic in many sheep-and cattle-raising areas such as Iran. Objectives: This study aimed to review the clinical manifestations, laboratory aspects, imaging findings, and management of HD. Patients and Methods: Data were collected from the medical records of patients diagnosed with HD in eight referral hospitals in different provinces of Iran from 2001 to 2014. Results: Overall, 161 children at a mean age of 9.25 ± 3.37 years (age range = 1 -15 years old) hospitalized with a definite diagnosis of the hydatid cyst between 2001 and 2014 were studied. The male-to-female ratio was 1.6:1. The most commonly involved organ was the lung (67.1%), followed by the liver (44.1%) and a combined liver and lung involvement was found in 15.5% of the patients. The cysts were found more frequently in the right lobe of the liver and lung than in the left lobe. The most frequent complaints were fever (35.4%) and abdominal pain (31.7%), and the most frequent sign was an abdominal mass in the liver involvement and cough in the lung involvement. There was a high eosinophil count (> 500/micL) in 41% of our cases. A high erythrocyte sedimentation rate (> 30) or positive C-reactive protein (based on the qualitative method) was found in 18.6% of the patients and leukocytosis > 15000/micL in 29.2% of the children. Ultrasonography was the main imaging test, with an accuracy rate of 96%, and chest X-ray was helpful in 88.6% of the cases. Surgery was performed in 89% of the patients, and selective patients underwent percutaneous aspiration-injection-reaspiration drainage or medical treatment. Conclusions: The lung was the most commonly involved organ in the children recruited in the present study. Given the high probability of multiple organ involvement, we recommend that patients with HD be assessed via ultrasonography and chest X-ray. In endemic regions, unexplained eosinophilia should be considered as a parasitic disease like HD and its complications.

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“…Nevertheless, high lobectomy rates (6.3%-54.5%) were reported for giant lung hydatid cysts in the literature. [1][2][3][4] The aim of this study is to evaluate the results of parenchymal saving methods for giant lung hydatid cysts and to discuss the necessity of anatomic lung resection in childhood.…”

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confidence: 99%