Intracavitary aspergilloma after hydatid cyst surgery: a case report

Kıral, Hakan; Yalçınkaya, İrfan; Küpeli, Mustafa; Demirhan, Recep

doi:10.5606/tgkdc.dergisi.2012.075

Cited by 3 publications

(4 citation statements)

References 4 publications

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“…2 Less commonly it has also been reported in the residual cavity after surgery for pulmonary hydatid cyst. 10 This double pathology may be clinically asymptomatic 3 or manifest with symptoms 4-6 similar to that of present case. It has been proposed that superinfections by such opportunistic pathogens occur when large hydatid cysts extend to or lie close to the hilum that prevents obliteration of the cyst cavity and facilitates its superinfection from the adjacent airways.…”

Section: Discussion/conclusionsupporting

confidence: 75%

“…Tuberculosis, sarcoidosis, bronchiectasis, abscess and neoplasms are some of the common cavitary lung diseases which can be colonized by aspergillus leading to development of aspergilloma which is a non‐invasive form of aspergillosis . Less commonly it has also been reported in the residual cavity after surgery for pulmonary hydatid cyst . This double pathology may be clinically asymptomatic or manifest with symptoms similar to that of present case.…”

Section: Discussion/conclusionsupporting

confidence: 64%

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Pulmonary hydatid cyst with co‐existent aspergillosis: A rare cytology finding

Nayak

Kowe

Kumbhalkar

et al. 2016

Diagnostic Cytopathology

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Pulmonary hydatid cyst with co-existing aspergillosis is rare. Till date, there are only two documented reports of this double pathology being diagnosed on cytology. The present case is of a young immunocompetent female who presented with respiratory complaints including intermittent hemoptysis. Chest X-ray and CT thorax revealed two well-defined lesions in the lower lobe of left lung that was suggestive of either infective or benign neoplastic etiology. But as hydatid cyst was not suspected either clinically or radiologically, FNA was performed. Based on the typical cytomorphological features a definitive diagnosis of hydatid cyst with aspergillosis was offered on cytology that was later confirmed on histopathology. To the best of our knowledge this is only the third report of pulmonary echinococcosis with aspergillus co-infection being diagnosed on cytology. The purpose of reporting this case is to draw attention to the rare possibility of co-existing aspergillus infection in pulmonary echinococcosis even in immunocompetent individuals, which can complicate the clinico-radiological picture. However, both pathologies can be effectively and accurately diagnosed on cytology, based on which proper treatment can be initiated. Diagn. Cytopathol. 2016;44:696-699. © 2016 Wiley Periodicals, Inc.

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Section: Discussion/conclusionsupporting

confidence: 75%

Section: Discussion/conclusionsupporting

confidence: 64%

Pulmonary hydatid cyst with co‐existent aspergillosis: A rare cytology finding

Nayak

Kowe

Kumbhalkar

et al. 2016

Diagnostic Cytopathology

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“…Almost all of these complications are minor ones that are ameliorated by conservative methods 4,9,10,13 . Sometimes, although rare, there are cases reporting that have developed opportunistic infections such as aspergilloma 14 . Twelve (12.9%) of our patients developed the postoperative surgical complications.…”

Section: Discussionmentioning

confidence: 99%

Retrospective evaluation of postsurgical outcomes of patients operated with the diagnosis of pulmonary hydatid cyst

Özsoy¹,

Tezcan²,

Gürler³

et al. 2020

Cumhuriyet Medical Journal

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Hydatid cysts may occur in almost every organ and tissue of human the body. Because they can be found in more than one organ/tissue, sometimes many operations may need for them and surgical intervention may be required due to complications that may develop secondary to hydatid cyst surgery albeit few. Method: Data on patient files retrieved from the hospital information management system or archive were analyzed retrospectively. Surgical results of patients operated with the diagnosis of hydatid cyst between 2008 and 2018 in our clinic were discussed retrospectively. Results: Ninety-three operations were performed in 84 patients due to pulmonary hydatid cysts. Fourty-four of them were male (52.4%), 40 were female and their mean age was 44 (5-85) years. Twenty-two (26.2%) patients were asymptomatic and 62 (73.8%) were symptomatic. Hydatid cysts were located in right hemithorax in 45 (53.6%) patients, in left hemithorax in 30 (35.7%) patients and bilaterally in 9 (10.7%) patients. Twenty-six patients (31%) had both pulmonary and hepatic hydatid cysts. Posterolateral thoracotomy and cystotomy-capitonnage were the most common methods (89.3%), 9 patients (10.7%) underwent wedge resection. Four patients developed atelectasis, 2 patients had hydropneumothorax, 4 patients had isolated prolonged air leak, 1 patient developed massive pulmonary embolism, and 1 patient developed Aspergillus infection the quilted cavity. Conclusions: Hydatid cyst disease has still been a serious health concern in Turkey. When the careful and experienced surgeons perform the operations, the postoperative period is usually uneventful and morbidity is extremely low.

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“…[1] Çok nadir olmakla birlikte kistotomi kapitonaj ameliyatı ardından aspergilloma geliştiği de bildirilmiştir. [8] Eğer karaciğer ve akciğer kist hidatikleri eş zamanlı ameliyat edildiyse en sık komplikasyon biliyer veya bronkobiliyer semptom olmaktadır. [9] Ancak yine de bu birliktelikte tek seansta ameliyat mümkünse tercih edilmelidir.…”

Section: Discussionunclassified

The Importance of Size and Number of Cysts in Pulmonary Hydatid Cyst Patients

Urek¹,

Cosgun²,

Alpay³

et al. 2013

J Kartal TR

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Çalışmamızda pulmoner kist hidatik nedeniyle ameliyat edilen olgular değerlendirildi ve gelecek dönemdeki hastalar için öngörü sahibi olabilmek amaçlandı. Gereç ve Yöntem: 2006-2011 tarihleri arasında pulmoner kist hidatik nedeniyle ameliyat edilen 78 olgu geriye dönük olarak değerlendirildi, ameliyat öncesi ve sonrası parametreler karşılaştırılıp ilişkili olabilecek durumlar araştırıldı. Hastaların yaşı, hastalıklı tarafı, semptomları, ameliyat öncesi radyolojik bulguları özellikle kist boyutu veya ameliyat edilen kistlerin sayıları değerlendirerek hastaların ameliyat sonrası dönemleri (drenaj süresi, drenaj miktarı, hospitalizasyon süresi) hakkında öngörü sahibi olabilmek amaçlandı. Bulgular: Kist hidatik nedeniyle ameliyat edilen hastaların ortalama yaşı 33.7±17.1 idi. Kist boyutları ile yaş, drenaj miktarı ve süresi, hospitalizasyon süresi, morbidite oranı karşılaştırıldı. İstatistiksel olarak yalnızca hastanın yaşı ve kist boyutu arasında ters korelasyon tespit edildi. Kistlerin boyutları ve sayıları ile ameliyat sonrası morbiditeleri, hospitalizasyon süreleri, drenaj süreleri ve miktarları, Spearman's rho test ile değerlendirildi. Yalnızca kist sayısı ve drenaj süresi arasındaki ilişki anlamlı bulundu (p=0.04). Sonuç: Akciğer kist hidatikleri için beklenildiği gibi erken yaş grubunda kist çapının daha büyük olduğu saptandı. Kist sayısı ve boyutlarının ameliyat komplikasyonlarını artırmadığı görüldü.

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Intracavitary aspergilloma after hydatid cyst surgery: a case report

Cited by 3 publications

References 4 publications

Pulmonary hydatid cyst with co‐existent aspergillosis: A rare cytology finding

Pulmonary hydatid cyst with co‐existent aspergillosis: A rare cytology finding

Retrospective evaluation of postsurgical outcomes of patients operated with the diagnosis of pulmonary hydatid cyst

The Importance of Size and Number of Cysts in Pulmonary Hydatid Cyst Patients

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