Successful Management of a Huge Pulmonary Hydatid Cyst with Lung-Preserving Surgery

Amirian, Armin; Ziaian, Bizhan; Erfani, Amirhossein; Shahriarirad, Reza; Ranjbar, Keivan

doi:10.1155/2020/9526406

Cited by 11 publications

(11 citation statements)

References 12 publications

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“…Hydatid cysts are more often located in the right lung and the lower lobes (13,16,17). The lower parts of the lungs are better vascularised than the upper ones allowing a good nutrition of the parasite ending in an easier growth (18).In our study, 67% cysts were found in the right lung and 53% in the basal lobes. In giant PCH, 66% were right and 62.5% in basal lobes.…”

Section: Discussionsupporting

confidence: 45%

“…Medical treatment is indicated as a single treatment when surgery is contraindicated in case of inoperable patients due to cardiac and/or pulmonary performance status or in association with surgery when the cyst is ruptured in the pleural cavity (8,21) or in disseminated hydatid cysts to prevent postoperative recurrences (18). Medical treatment aims to reduce the number of cysts and to kill the parasite thus controlling hydatid dissemination and recurrence.…”

Section: Discussionmentioning

confidence: 99%

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Giant pulmonary hydatid cyst in children

Khalfallah

Hajjej

Ferchichi

et al. 2021

Monaldi Arch Chest Dis

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Hydatid disease is still endemic in Tunisia. It is mostly seen in young people less than 40 years and children are affected in one third of cases. The lungs are the predominant location in children. Our study aims to define the particularities of children PHC's (pulmonary hydatic cyst) management, the characteristics of giant cyst and to study predictive factors of complications. We included retrospectively 105 children with PHC followed between 1999 and 2019. Patients were aged less than 16 years with surgically confirmed diagnosis of PHC. Two groups of cysts were defined: giant cysts which were 10 cm across or more, and no giant cysts.The sex-ratio was 1,38 with a mean age of 10.5±3 years. The symptomatology was dominated by cough (59%), thoracic pain (51%) and hemoptysis (46%). Giant cysts were observed in 24 (22.9%) patients. Dyspnea (29% vs 5% p<0.001) and thoracic pain (88% vs .41% p<0.001) were significantly more frequently reported in giant cysts. Eighty-six patients had a single cyst (83%) and 19 had multiple cysts (17%). Giant cysts accounted for 22,9% (24 cases). Thoracic ultrasonography was diagnostic in 77.4%. The thoracic CT scan was performed in 27 children with inaccessible cysts in thoracic ultrasonography or in diagnostic doubt.Patients were all treated surgically. Surgical procedures consisted of cystectomy (59%), pericystectomy (18%) and pulmonary resection when parenchyma was destroyed (23%). Parenchymal resection was more often performed in complicated cysts (27% vs 20% p>0.05) and in giant cysts (41% vs 18% p<0.05). A two-stage thoracotomy was performed in the 4 patients with bilateral cysts. Thirteen patients presented immediate post-operative complications which occurred more frequently in complicated and giant cysts. Hospital stay was longer in complicated cysts (16±9 days vs 7±3 days; p<0.001) and in giant cysts (14±9 days vs 11±8 days; p>0.05). In endemic regions, the diagnosis of PHC in children should be based on the combination of thoracic radiography and ultrasonography which are effective, not costly, safe and accessible. Complicated and giant PHC cause lung damage leading to extensive parenchymal resection. They are more associated with post-operative complications prolonging hospital stay and increasing expenses.

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Section: Discussionsupporting

confidence: 45%

Section: Discussionmentioning

confidence: 99%

Giant pulmonary hydatid cyst in children

Khalfallah

Hajjej

Ferchichi

et al. 2021

Monaldi Arch Chest Dis

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“…Parenchymapreserving procedures should be preferred in favorable cases, believing that underlying lung parenchyma beneath the cyst is healthy and might expand postoperatively. 16,17 Though there may not be a fair expansion of the remaining lobe at the time of surgery if there is no air leak then gradual expansion is expected later on. 17…”

Section: Ce Is a Zoonotic Parasitic Disease Caused Bymentioning

confidence: 99%

Parenchyma Preserving Surgery in Giant Hydatid Cyst of Lung: A Case Report

Singh¹,

Acharya²

2023

Nepal Med Jor

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Cystic echinococcosis (CE) is parasitic infestation characterized by the development of cyst as a consequence of the parasitization of humans by the larval stages of cestode Echinococcus granulosus. We present a case of 66 years old man who presented with a history of dry cough, mild fever and occasional shortness of breath for 1 year, which was gradually progressive with no history of chest pain or weight loss. Chest x-ray revealed a well-circumscribed homogenous opacity in the right hemithorax. Computed tomography (CT) of the chest revealed a large cystic lesion 18× 15 × 14 cm in the right hemithorax involving the whole of the right lower lobe and causing compression atelectasis of the middle lobe. The patient underwent lung preserving surgery with cystectomy and capotionnage. The patient was discharged on the 6th postoperative with a good clinical and radiological outcome. This case report highlights that lung-preserving surgery can be performed in giant hydatid cysts with a good outcome.

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“…Human CE is treated by a variety of pharmacological and surgical methods ranging from chemotherapeutic treatment with albendazole and minimally invasive surgical treatments like PAIR (percutaneous Puncture, Aspiration, Injection, and Reaspiration) in asymptomatic patients [15,16]. There are various surgical procedures for pulmonary hydatid disease like enucleation, pericystectomy, cystostomy with capitonnage, cystostomy with the closure of the bronchial openings, and capitonnage, cystotomy with the closure of bronchial openings alone, open aspiration by Figuera technique, segmental resection, and lobectomy [17,18]. Currently, the most accepted surgical procedure for lung pulmonary is cystostomy methods that including intact cyst enucleation or removal after needle aspiration by maintaining the lung parenchyma as much as possible [14,[19][20][21].…”

Section: Introductionmentioning

confidence: 99%

Pulmonary hydatidosis genotypes isolates from human clinical surgery based on sequencing of mitochondrial genes in Fars, Iran

Mardani

Ezabadi

Sedaghat

et al. 2021

J Cardiothorac Surg

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Background Cystic echinococcosis (CE)/hydatidosis is an important neglected parasitic zoonotic disease caused by the metacestode of Echinococcus granulosus s.l. The present study was designed to identify the pulmonary CE species/genotypes in isolated human underwent to surgery in our center in Southern Iran. Methods The study population of this study were all patients in Fars province who were admitted to Namazi Hospitals for pulmonary hydatid cyst surgery. Thoracic surgery was performed in the thoracic ward and the cyst/s was removed by open surgery via posterolateral or lateral thoracotomy. DNA was extracted from the germinal layer or the protoscoleces. PCR technique was performed using the cytochrome C oxidase subunit1 (cox1) gene, and the products were sequenced. Results A total of 32 pulmonary hydatid cyst samples were collected from 9 (28%) female and 23 (72%) male aged from 4 to 74 years old. A total of 18(56%) cyst/s were in the left lobe and 14 (44%) cysts in the right lobe. Sequence analysis of the cysts showed that 24 samples (75%) were E. granulosus s.s (G1-G3) genotype and 8 (25%) were E. canadensis (G6/G7) genotype. Conclusion E.granulosus s.s genotype was the most prevalent genotype followed by E. canadensis (G6/G7) genotype. There was no significant statistical correlation between cysts’ size, location, genotype strain, and patients’ age and gender.

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Successful Management of a Huge Pulmonary Hydatid Cyst with Lung-Preserving Surgery

Cited by 11 publications

References 12 publications

Giant pulmonary hydatid cyst in children

Giant pulmonary hydatid cyst in children

Parenchyma Preserving Surgery in Giant Hydatid Cyst of Lung: A Case Report

Pulmonary hydatidosis genotypes isolates from human clinical surgery based on sequencing of mitochondrial genes in Fars, Iran

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