Management of Complicated Hydatid Cyst of the Thorax

Kılıç, Dalokay; Fındıkçıoğlu, Alper; Bilen, Ahmet; Koç, Zafer; Hatipoğlu, Ahmet

doi:10.1111/j.1445-2197.2007.04217.x

Cited by 13 publications

(11 citation statements)

References 26 publications

(25 reference statements)

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“…Atelectasis can be caused by compression of the HC and may facilitate the development of pneumonia. Bronchiectasis can be seen in the distal parenchyma of HCs due to bronchial obstruction and parenchyma destruction [17]. As another associated finding, pleural thickening or free fluid can develop without intrapleural rupture of the HC [18].…”

Section: Pulmonary Involvementmentioning

confidence: 99%

Radiological manifestations of thoracic hydatid cysts: pulmonary and extrapulmonary findings

et al. 2020

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Hydatid cyst caused by the larval form of Echinococcus is a worldwide zoonosis. The lungs and liver are the most common sites involved. While the lung parenchyma is the most common site within the thorax, it may develop in any extrapulmonary region including the pleural cavity, fissures, mediastinum, heart, vascular structures, chest wall, and diaphragm. Imaging plays a pivotal role not only in the diagnosis of hydatid cyst, but also in the visualization of the extent of involvement and complications. The aim of this pictorial review was to comprehensively describe the imaging findings of thoracic hydatid cyst including pulmonary and very unusual extrapulmonary involvements. An outline is also given for the findings of complications and differential diagnosis of thoracic hydatid cyst.

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Section: Pulmonary Involvementmentioning

confidence: 99%

Radiological manifestations of thoracic hydatid cysts: pulmonary and extrapulmonary findings

et al. 2020

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“…This may necessitate lung resection in the form of wide wedge resection or even lobectomy (83). Another indication for anatomic resection is a ruptured or complicated hydatid cyst that cannot be differentiated convincingly from lung cancer or aspergilloma (84). Some large cysts may also compel a lobectomy when lesser resection may preserve minimal healthy parenchyma.…”

Section: Technique Of Enucleationmentioning

confidence: 99%

Surgery for parasitic lung infestations: roles in diagnosis and treatment

Thapa

Sapkota²,

Kim

et al. 2018

J. Thorac. Dis

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Pulmonary parasitic infestations are a worldwide problem associated with significant morbidity and socioeconomic impact. They are known to have varied clinical presentations and radiological appearances. Prevention of parasite transmission and medical treatment of cases form the two pillars of control of these diseases. The role of surgery is limited to the diagnosis and definitive treatment of the minority of pulmonary parasitic afflictions, most notably hydatidosis. Despite surgery being established as the treatment of choice in pulmonary hydatid cysts (PHCs) for over half a century, variations and unresolved controversies persist regarding the best surgical technique. Complications brought on by cyst rupture, multiplicity and multi-organ involvement add complexity to treatment decisions. The development of videoassisted thoracoscopic surgery (VATS) brings the promise of reduced peri-operative morbidity but is yet to be universally accepted as a safe technique. In this review, we endeavor to discuss the common pulmonary infestations focusing on the current trends and controversies surrounding surgery for PHC.

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“…Although the basic treatment for pulmonary hydatid cysts is surgery, the purpose of the chemotherapy regimen that we performed was to reduce the risk of recurrence associated with hydatid cysts. [13][14][15] Albendazole or mebendazole are common anthelmintics used in the medical treatment of hydatid cysts. Albendazole is normally the first choice of treatment since it has a high plasma level and is highly absorbed by the gastrointestinal system.…”

Section: Discussionmentioning

confidence: 99%

Parenchyma-preserving and minimally invasive thoracotomy technique in giant pulmonary hydatid cysts

Öncel¹

2015

Turk Gogus Kalp Dama

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Bu retrospektif çalışmada dev pulmoner kist hidatiklerde parankim koruyucu ve minimal invaziv ameliyat deneyimlerimiz sunuldu. Ça lış ma pla nı: Dev kist hidatikli 19 hasta (13 erkek, 6 kadın; ort. yaş 22 yıl) ameliyat edildi. Dev kistin en dış katmanı olan adventisya normal parankime kadar eksize edildi ve önceden tespit edilen bronşiyal kaçaklar kapatıldı. Serbest hale gelen kistin adventisyası karşılıklı olarak parankim içerisine dikildi. Bul gu lar: Kist hidatikler 13 hastada sağ hemitoraksta, beş hastada sol hemitoraksta ve bir hastada iki taraflı idi. Güvenli bronşiyal kapatma parankimi germeden pulmoner hacim kaybını engelledi. Ameliyata bağlı komplikasyonlar bir hastada plevral efüzyon, iki hastada atelektazi, bir hastada yara enfeksiyonu ve üç hastada pnömoni idi. Bilgisayarlı tomografi ile ölçülen kist çapları ortalama 10 cm idi. Hastanede ortalama kalış süresi 7.5 gün idi. So nuç: Güncel kist hidatik tedavisi kistin cerrahi ile tam olarak çıkarılmasını takiben pulmoner parankimin genişlemesine izin vermelidir. Parankim koruyucu ve minimal invaziv torakotomi tekniği ile ameliyat edilen hastaların hiçbirinde rezeksiyona gerek kalmadı. Tekniğimizin avantajları; düşük komplikasyon oranı ve kistin minimal invaziv torakotomi ile kapitonaj gerektirmeden tek bir drenle çıkılmasıdır. Anah tarsöz cük ler: Yeni bir teknik; dev kist hidatikler; minimal invazif torakotomi.

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Management of Complicated Hydatid Cyst of the Thorax

Cited by 13 publications

References 26 publications

Radiological manifestations of thoracic hydatid cysts: pulmonary and extrapulmonary findings

Radiological manifestations of thoracic hydatid cysts: pulmonary and extrapulmonary findings

Surgery for parasitic lung infestations: roles in diagnosis and treatment

Parenchyma-preserving and minimally invasive thoracotomy technique in giant pulmonary hydatid cysts

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