Primary mediastinal echinococcosis

Rakower, Joseph; Milwidsky, H.

doi:10.1016/0002-9343(60)90008-5

Cited by 51 publications

(25 citation statements)

References 8 publications

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“…Pulmonary echinococcosis can follow intrathoracic rupture of a cyst of the liver [12], but most patients with pulmonary hydatid disease do not show liver involvement [13]. Within the chest, echinococcosis can primarily involve the pleural cavity [14], mediastinum [15] and chest wall [16].…”

Section: Organ Involvementmentioning

confidence: 99%

Pulmonary echinococcosis

Morar¹,

Feldman²

2003

Eur Respir J

273

317

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Echinococcosis or hydatid disease is caused by larvae of the tapewormEchinococcus. Four species are recognised and the vast majority of infestations in humans are caused byE. granulosus.E. granulosuscauses cystic echinococcosis, which has a worldwide distribution. Humans are exposed less frequently toE. multilocularis, which causes alveolar echinococcosis.E. vogeliandE. oligarthrusare rare species and cause polycystic echinococcosis.In cystic echinococcosis, humans are an accidental host and are usually infected by handling an infected dog. The liver and lungs are the most frequently involved organs. Pulmonary disease appears to be more common in younger individuals. Although most patients are asymptomatic, some may occasionally expectorate the contents of the cyst or develop symptoms related to compression of the surrounding structures. Other symptoms of hydatid disease can result from the release of antigenic material and secondary immunological reactions that develop from cyst rupture. The cysts are characteristically seen as solitary or multiple circumscribed or oval masses on imaging. Detection of antibody directed against specific echinococcal antigens is found in only approximately half of patients with pulmonary cysts. Surgical excision of the cyst is the treatment of choice whenever feasible.

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Section: Organ Involvementmentioning

confidence: 99%

Pulmonary echinococcosis

Morar¹,

Feldman²

2003

Eur Respir J

273

317

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“…2,7) Rakower and Milwidsky reported only 25 cases (0.1%) of hydatid cysts in the mediastinal compartment in more than 23,000 patients with hydatid disease. 8) We think that, our higher incidence of mediastinal hydatid cysts with 5.6% was caused by close contact of patients with sheep and carnivores. And also, hydatid disease is endemic in certain parts of Turkey.…”

Section: Discussionmentioning

confidence: 81%

Primary Mediastinal Hydatid Cysts

Tülay

2014

ATCS

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Purpose: Hydatid disease is endemic in many parts of the world. Mediastinal hydatidosis is seen less than 0.1% of all hydatid diseases. We want to report our primary mediastinal hydatid cysts. Materials and Methods: In this retrospective study, from January 2010 to December 2012, 158 patients with intrathoracic hydatid cysts were operated in our thoracic surgery clinic. Nine of 158 (5.69%) patients had mediastinal hydatid cyst. Chest X-ray and computed tomography (CT) were used as diagnostic tools. Results: Hydatid cyst was confirmed surgically and pathologically in all the patients. Anterior mediastinal hydatid cysts and one cardiac involvement were determined in our study. While total cyst excision was performed in seven patients, partial pericystectomy could be done in two patients. In one patient, left ventricle invasion was seen and it was totally excised. Postoperative albendazole was applied to patients and there was no recurrence of disease till now. Conclusions: Mediastinal hydatid cysts are uncommon and should be kept in mind in differential diagnosis of mediastinal cystic lesions especially in endemic regions. Surgical resection must be done and then medical therapy is needed to prevent recurrence.

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“…The extrapulmonary and mediastinal involvement of hydatid cysts is rare 910. The most common location in the mediastinum is the posterior mediastinum 11. In one study of 1619 intrathoracic hydatid cysts, only 8 (0.5%) were found in the mediastinum 12.…”

Section: Discussionmentioning

confidence: 99%

Primary mediastinal hydatid disease leading to popliteal artery hydatid cyst embolization

Hakeem

Shafi

Gojwari

et al. 2009

Annals of Saudi Medicine

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Hydatid disease is a zoonosis caused by Echinococcus granulosus. Infected dogs release eggs through their feces and the eggs infect humans through food and water. The most common locations of hydatid cysts are the liver and lungs, but primary mediastinal involvement, though rare, can be encountered. We report on a 16-year-old female with a primary mediastinal hydatid cyst leading to popliteal arterial embolization. The mediastinal lesion was treated with partial pericystectomy with removal of the germinal membrane and prophylactic albendazole. In endemic areas, it is important to consider hydatid cysts in the differential diagnosis of an acute arterial occlusion.

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Primary mediastinal echinococcosis

Cited by 51 publications

References 8 publications

Pulmonary echinococcosis

Pulmonary echinococcosis

Primary Mediastinal Hydatid Cysts

Primary mediastinal hydatid disease leading to popliteal artery hydatid cyst embolization

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