Traumatic Rupture of Giant Pulmonary Hydatid Cyst in a Child

Abstract

Trauma as a cause of hydatid cyst rupture leads to various clinical conditions, especially in children. Current literatures regarding the clinical presentation and management of such patients are rare. Case report: A 14-year-old child was admitted with chest pain and dyspnoea due to blunt thoracic trauma after falling off a bicycle. Chest computed tomography showed right hydropneumothorax and cystic cavity. After chest tube insertion, massive air leak was observed from the tube. Cystotomy and capitonnage were performed on the right lower lobe via a posterolateral thoracotomy. He was discharged from the hospital in good condition. Conclusion: Ruptured hydatid cysts into the pleura are difficult to diagnose radiologically. It can be misdiagnosed radiologically as empyema or hydrothorax. In undetermined cases, all the findings may be suggestive but not diagnostic. Operation must be performed early for exploration when the condition is suspected. High complication rate has been found in children who were operated late.

Parenchyma Preserving Surgery in the Management of Giant Pulmonary Hydatid Cyst Complicated by Endobronchial Rupture in Children: Case Report

“…Modern imaging techniques are quite eff ective in the diagnosis of pulmonary hydatid cyst. At the same time, in giant forms and those complicated by rupture, the radiological diagnosis of empyema or hydrothorax is often incorrect, but it is precisely in these forms of the disease that the need for prompt surgical treatment as soon as possible after stabilization of the patient is imposed, with the aim of removing the hydatid larvocyst with maximum preservation of lung tissue [6,10].…”