Hydatidose médiastinale primitive chez l’enfant : à propos de deux cas

Gasmi, M.; Fitouri, Fatma; Sahli, Sonia; Sghairoun, N.; Hamzaoui, M.

doi:10.1016/j.pneumo.2009.09.002

Cited by 6 publications

(9 citation statements)

References 7 publications

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“…On entering the intestines of humans, the parasite gains further entry to locate itself in the liver or lung, and its passage into the systemic circulation is responsible for its location in diverse locations [1]. These two organs are a blood filter for the dissemination of the parasite, thus explaining the rarity of hydatid in all other locations [2].…”

Section: Discussionmentioning

confidence: 99%

“…The pathogenesis of mediastinal localization of HC remains controversial [1]. Some findings argue in favor of the hypothesis of fissuring an hydatid liver or lung into the systemic circulation, allowing the parasite to settle in the mediastinum [1,4].…”

Section: Discussionmentioning

confidence: 99%

“…Some findings argue in favor of the hypothesis of fissuring an hydatid liver or lung into the systemic circulation, allowing the parasite to settle in the mediastinum [1,4]. Mediastinal localization could also come from transdiaphragmatic dissemination or via lymphatic abdominal hydatidosis [4].…”

Section: Discussionmentioning

confidence: 99%

“…HC of the mediastinum is often revealed by chest pain and signs of mediastinal compression (dyspnea, dysphagia, dysphonia), which can be discovered incidentally or by a complication (rupture in the heart or in a large vessel) [1,5]. …”

Section: Discussionmentioning

confidence: 99%

“…The pathogenesis is due to the accidental infestation of a human by a dog’s dejections which contained the Taenia Echinococcus granulosus [1]. It affects different organs, but mainly the liver and lung, whereby the blood filters for parasite dissemination.…”

Section: Introductionmentioning

confidence: 99%

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Mediastinal hydatid cyst: a case report

et al. 2013

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IntroductionMediastinal localization of hydatidosis is very rare even in endemic areas. The diagnosis is based on typical clinical and radiological criteria.Case presentationWe report a case of a mediastinal location of hydatidosis in a 60-year-old Arab man admitted for chest pain. The chest radiograph showed a rounded and homogeneous opacity. Computed tomography showed a right mediastinal cyst, without other thoracic or abdominal sites. Through a posterolateral thoracotomy, we found a cystic mass in the posterior mediastinum. The patient received a cystectomy with medical treatment based on albendazole. He improved a few weeks later.ConclusionMediastinal cysts remain rare, even in endemic countries, which makes initial diagnosis difficult. Our observation shows the importance of keeping this diagnosis in mind when a patient presents with signs of mediastinal compression.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Mediastinal hydatid cyst: a case report

et al. 2013

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Surgery for Large Mediastinal Hydatid Cyst With Severe Aortic Stenosis

Sangal

Malhotra

2020

The Annals of Thoracic Surgery

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H ydatidosis is caused by accidental infestation of Echinococcus granulosus. 1 It affects mainly the liver and lungs, whereby the blood filters for parasite dissemination. Mediastinal localization is rare, and the incidence varies between 0.5% and 2.6%. 2,3 A 75-year-old Arabic man was examined for chest pain with a dry cough in a context of apyrexia and conservation of general status. Chest radiography showed a rounded and homogeneous opacity. Preoperative computed tomography revealed a large cystic mass with well-limited contours (Figure 1). Two-dimensional echocardiography showed severe calcific aortic valve stenosis with a mean peak gradient of 67 mm Hg. The results of hydatid serology testing were positive.A large cyst was found intraoperatively (Figure 2), and it was removed en bloc (Figure 3) after careful dissection. The patient tolerated the surgery well and was discharged with medical treatment based on albendazole.

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Primary mediastinal hydatidosis successfully treated with combined medical therapy and VATS (Video-assisted thoracoscopic surgery)

Razok

Ali

2021

IDCases

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Highlights Hydatidosis is an endemic infection and can involve a variety of organ systems. The mediastinum is one of the rarest locations of hydatidosis. It can occur primarily or secondarily to intrathoracic and intraabdominal Echinococcus. Surgical treatment remains very crucial in the management of these cases. The exact mechanism by which primary mediastinal hydatidosis occurs remains a debatable subject.

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Hydatidose médiastinale primitive chez l’enfant : à propos de deux cas

Cited by 6 publications

References 7 publications

Mediastinal hydatid cyst: a case report

Mediastinal hydatid cyst: a case report

Surgery for Large Mediastinal Hydatid Cyst With Severe Aortic Stenosis

Primary mediastinal hydatidosis successfully treated with combined medical therapy and VATS (Video-assisted thoracoscopic surgery)

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