scholarly journals Conservative Surgical Management for Pulmonary Hydatid Cyst: Analysis and Outcome of 148 Cases

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Mohammed Aldahmashi ◽  
Mohamed Alassal ◽  
Ibrahim Kasb ◽  
Hany Elrakhawy
Keyword(s):  
Hydatid Cyst ◽  
Bronchopleural Fistula ◽  
Complete Removal ◽  
Conservative Surgery ◽  
Hydatid Cysts ◽  
Rural Regions ◽  
Purse String ◽  
Lung Cysts ◽  
Surgical Methods ◽  
Pulmonary Hydatid Cyst

Background. Hydatid cyst (HC) disease is endemic in many developing countries, like Yemen, Egypt, and Saudi Arabia, especially in the rural regions. The disease has a variable clinical courses and even might be asymptomatic for many years.Objectives. In giant and large pulmonary hydatid cysts, pulmonary resection is the usual method of surgical treatment. In this study, we aimed to evaluate the lung conservative surgery in treatment of cases with giant and large hydatid lung cysts, as an effective method of management.Patients and Methods. Between January 2009 and August 2014, a total of 148 patients with pulmonary hydatid cysts were operated and their data was reviewed retrospectively and analyzed. Out of these cases, 52 (35.14%) cysts with more than 10 cm in diameter and 36 (24.32%) cysts with 5–9 cm were regarded as giant and large hydatid lung cysts, respectively. The small cysts less than 5 cm were presented in 8 (5.4%) cases only; other cases had ruptured cysts. Preservation of the lung tissues during surgery by cystotomy and Capitonnage was our conservative surgical methods of choice.Results. Eight patients developed bronchopleural fistula (BPF); of them, 4 BPFs have healed with chest tube and physiotherapy, but in the other 4 patients reoperation was done for the closure of persistent BPF. No mortality was observed in the present study.Conclusion. We conclude that conservative surgical procedure can achieve complete removal of the pulmonary hydatid cyst. Enucleation of the intact huge cysts is safe. Careful and secured closure of the bronchial communication should be done by purse string or figure-of-8 sutures, with or without Teflon pledgets. These simple procedures are safe, reliable, and successful.

One-Stage Procedure for Lung and Liver Hydatid Cysts

2008 ◽  
Vol 16 (5) ◽  
pp. 392-395 ◽  
Author(s):  
Manucher Aghajanzadeh ◽  
Fizolah Safarpoor ◽  
Hussein Amani ◽  
Ali Alavi
Keyword(s):  
Hydatid Cyst ◽  
Bronchopleural Fistula ◽  
Hepatic Cyst ◽  
Single Stage ◽  
Hospital Death ◽  
Posterolateral Thoracotomy ◽  
Hydatid Cysts ◽  
Pulmonary Cysts ◽  
Pulmonary Hydatid Cyst ◽  
Hepatic Hydatid

Concomitant pulmonary and liver hydatid cysts occur in 4% 25% of patients with echinococcosis. To evaluate the safety of a single-stage operation, experience with this procedure between 1992 and 2005 was reviewed. Of 152 patients who underwent surgery for pulmonary hydatid cyst, 30 had an additional hepatic cyst that was located on the upper dome of the liver in all cases. Pulmonary cysts were excised first via a posterolateral thoracotomy. After phrenotomy, the hepatic hydatid cyst was evacuated without capitonnage, and a Folly catheter was left in the cavity. Postoperative complications in the 30 patients with cysts in both locations included empyema in 2, bronchopleural fistula in 1, excessive biliary discharge in 3 and hemorrhage in 1. Hepatic hydatid cysts recurred in 2 patients. There was no hospital death. A single-stage posterolateral thoracotomy for extraction of pulmonary and liver hydatid cyst is an effective and safe surgical technique with few complications.

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

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Armin Amirian ◽  
Bizhan Ziaian ◽  
Amirhossein Erfani ◽  
Reza Shahriarirad ◽  
Keivan Ranjbar
Keyword(s):  
Hydatid Cyst ◽  
Lower Lobe ◽  
Hydatid Cysts ◽  
Successful Management ◽  
Lung Expansion ◽  
One Year ◽  
Pulmonary Hydatid Cyst ◽  
Lung Resections ◽  
Lung Hydatid

The lung is the second most commonly involved organ in humans by hydatid disease. Management of large pulmonary hydatid cysts is a great challenge for thoracic surgeons. Lung resections should be considered the last choice for huge pulmonary hydatid cysts when the lung expansion is not optimal after cyst removal. Here, we present a case of huge lung hydatid cyst involving the entire right lower lobe which was successfully managed by lung-preserving surgery in which the postoperative course showed gradual resolution of the involved lobe during a one-year follow-up.

scholarly journals Ruptured Hydatid Cyst with an Unusual Presentation

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Deepak Puri ◽  
Amit Kumar Mandal ◽  
Harinder Pal Kaur ◽  
Tek Singh Mahant
Keyword(s):  
Hydatid Cyst ◽  
Bronchopleural Fistula ◽  
Left Lung ◽  
Young Male ◽  
Uneventful Recovery ◽  
Pleural Thickening ◽  
Peripheral Hospital ◽  
Lung Expansion ◽  
Probable Site ◽  
Pulmonary Hydatid Cyst

Ruptured pulmonary hydatid cyst may sometimes cause complications like empyema, bronchopleural fistula, and collapsed lung. These complications may mislead the diagnosis and treatment if prior evidence of cyst has not been documented before rupture. We present a case of a young male who presented with complete collapse of left lung with pyopneumothorax and bronchopleural fistula which was misdiagnosed as pulmonary tuberculosis. He was referred to us from peripheral hospital for pneumonectomy when his condition did not improve after six months of antitubercular chemotherapy and intercostals drainage. On investigation, CT scan revealed significant pleural thickening and massive pneumothorax restricting lung expansion. Decortication of thickened parietal and visceral pleura revealed a ruptured hydatid endocyst, and repair of leaking bronchial openings in floor of probable site of rupture in left upper lobe helped in the complete expansion of the collapsed lung followed by uneventful recovery.

Orbital hydatid cyst

2012 ◽  
Vol 9 (1) ◽  
pp. 42-44 ◽  
Author(s):  
Ramazan Kahveci ◽  
Ahmet Metin Sanli ◽  
Bora Gürer ◽  
Zeki Sekerci
Keyword(s):  
Hydatid Cyst ◽  
Primary Infection ◽  
Previous History ◽  
Hydatid Cysts ◽  
Orbital Cavity ◽  
Combination Technique ◽  
Lung Cysts ◽  
History Of ◽  
Primary Hydatid Cyst ◽  
Unilateral Proptosis

Hydatid cysts rarely appear in the orbital cavity without the involvement of the other organs. Most of them are situated in the superolateral and superomedial angles of the orbit. Inferiorly located cysts are very uncommon. The authors report a case of a primary hydatid cyst of the orbit with inferolateral localization. The cyst was removed surgically via a frontotemporoorbitozygomatic approach combination with puncture-aspiration-injection-reaspiration technique. This case was considered as a primary infection, because there was no previous history of hydatid disease and no findings of liver and lung cysts on radiological examination. Physicians should include orbital hydatid cyst in the differential diagnosis of unilateral proptosis. To avoid complications that might occur during surgery, the cyst can be easily removed using the combination technique detailed in this report.

scholarly journals A Case of Ruptured Pulmonary Hydatid Cyst of the Liver and Review of the Literature

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Nilufer Bulut ◽  
Sevinc Dagıstanlı
Keyword(s):  
Hydatid Cyst ◽  
Emergency Service ◽  
Elective Surgery ◽  
Wedge Resection ◽  
Bile Leakage ◽  
Southeast Europe ◽  
Surgical Methods ◽  
Pulmonary Hydatid Cyst ◽  
Cyst Rupture

Background. Hydatid cyst is an endemic disease frequently localized to the liver. It is frequently observed in Southeast Europe, Middle East, and Turkey. Although the cyst rupture can occur spontaneously, it can also occur upon albendazole treatment. Its surgical treatment includes cystotomy, capitonnage, and wedge resection. Material-Method. A 56-year-old male immigrant was admitted with fever, pain, and cough. Albendazole treatment was initiated and elective surgery was planned. Upon his admission to emergency service, he was diagnosed with pneumonia, and a spontaneous cyst rupture was detected. Result. Thoracotomy and cystotomy were performed. Bile leakage aspiration and lung wedge resection were also performed. Conclusion. Different surgical methods are used in the treatment of hydatid cysts depending on the localization and complications. Follow-up with antihelminthic drugs such as albendazole and mebendazole is recommended in medical treatment.

scholarly journals Management of giant hydatid cysts: a tertiary centre experience

2021 ◽  
Vol 29 (1) ◽  
Author(s):  
Mahdi Abdennadher ◽  
Mariem Hadj Dahmane ◽  
Hazem Zribi ◽  
Sarra Zairi ◽  
Imen Bouassida ◽  
...  
Keyword(s):  
Hydatid Cyst ◽  
Pulmonary Resection ◽  
Conservative Surgery ◽  
Good Prognosis ◽  
Main Body ◽  
Tertiary Centre ◽  
Important Health ◽  
Residual Cavity ◽  
Pulmonary Hydatid Cyst ◽  
Surgery Department

Abstract Background Hydatid cyst (HC), the most parasitic disease of the lung, is still an important health problem in Tunisia. In this study, we reviewed our experience in a surgical management of 33 patients with giant pulmonary hydatid cyst (GPHC) (diameter ≥ 10 cm). Main body Between 1998 and 2019, a total of 33 patients with GPHC were operated in the Thoracic Surgery Department in Abderrahmane Mami Hospital. Seventeen were males (51.51) and 16 were females (48.48%). The median age was 33.9 years (range 7–83 years). The diameters of the cyst ranged between 10 and 20 cm (mean 13.15 cm). The most common symptoms were chest pain (63.63%) and cough (33.33%). Imaging showed a single GPHC in all cases. GPHC was intact in 75.75% cases and complicated in 24.25% cases. Posterolateral thoracotomy was performed in 27 cases (81.81%). For the residual cavity, parenchyma-saving procedures were performed in 54.54% and anatomical resection was performed in 45.46%. Morbidity was low, and no mortality was seen. Conclusion GPHC are considered more difficult to treat surgically than small cysts; parenchyma preserving should and could be the surgical method of choice with a good prognosis. The decision of anatomical pulmonary resection is taken in per-operative when conservative surgery is not possible.

Intact Pulmonary Hydatid Cyst: Is Bronchoscopic Removal Possible?

2019 ◽  
Vol 15 (1) ◽  
pp. 64-66
Author(s):  
Massoud Sokouti ◽  
Mohsen Sokouti ◽  
Babak Sokouti
Keyword(s):  
Hydatid Cyst ◽  
Technical Note ◽  
Hydatid Cysts ◽  
Pulmonary Hydatid Cyst ◽  
Critical Notes

In the current technical note, the structure of pulmonary hydatid cysts has been presented and the included layers have been discussed. Then, some critical notes have been provided for the management of intact pulmonary hydatid cyst which should not be removed by bronchoscopic approaches due to high rates of possible complications of tearing; however, it has been performed by some cases available in the literature which is not acceptable.

scholarly journals Pulmonary hydatid cyst - A radiological challenge!

2012 ◽  
Vol 9 (1) ◽  
pp. 39-42
Author(s):  
N Kumar ◽  
M Mishra ◽  
A Singhal
Keyword(s):  
Hydatid Cyst ◽  
Lung Diseases ◽  
Diagnostic Delay ◽  
Hydatid Cysts ◽  
Radiological Findings ◽  
X Ray ◽  
Chest X Ray ◽  
The Right ◽  
Pulmonary Hydatid Cyst ◽  
The Mind

Hydatid disease is a parasitic infestation caused by Echinococcus granulosus. The resulting large cysts in the lung, a special clinical entity called giant hydatid cysts, is rare. Our case involves a middle-aged man who presented to us with vague chest complaints. Chest X-ray revealed a large cavity with an airfl uid level in the right hemithorax, which brought to the mind a constellation of differential diagnoses. A diagnosis of hydatid cyst was made intraoperatively. This case report provides evidence that radiological findings may be misleading and cause a diagnostic delay in such cases. SAARC Journal of Tuberculosis, Lung Diseases & HIV/AIDS 2012; IX (1) 39-42 DOI: http://dx.doi.org/10.3126/saarctb.v9i1.6964

scholarly journals Management of Liver Hydatid Cysts: A Cross-Sectional Retrospective Analysis of 293 Cases From Southern Iran

2021 ◽  
Author(s):  
Amirhossein Erfani ◽  
Reza shahriarirad ◽  
Mehrdad Eskandarisani ◽  
Mohammad Rastegarian ◽  
Bahador Sarkari
Keyword(s):  
Hydatid Cyst ◽  
Radical Surgery ◽  
Conservative Surgery ◽  
Fars Province ◽  
Hydatid Cysts ◽  
Cross Sectional ◽  
Liver Hydatid Cyst ◽  
Southern Iran ◽  
The Mean ◽  
Clinical Records

Abstract Background: The current study aimed to evaluate the therapeutic features and complications of liver hydatid cyst in patients who underwent surgery for CE in Fars province, southern Iran.Methods: A total of 293 patients who underwent surgery for liver hydatid cyst from 2004 to 2018 in Fars Province, southern Iran, were retrospectively evaluated. The clinical records of patients were reviewed and the demographic and clinical characteristics of each patient were assessed.Results: Of the total of 293 cases, 178 (60.9%) were females and 115 (39.1%) were males. The mean age of the subjects was 37.22 (±20.55) years. The mean size of the liver hydatid cyst was 9.18 (± 4.365). Of the 293 patients studied, 227 (77.4%) had hydatid cysts only in the liver, while 55 (9.4%) had both liver and lung cysts. More than half of the liver cysts (65.9%) were located in the right portion of the liver (segment 5 to 8). Of the 293 cases, 52 (17.7%) underwent radical surgery while 241 (82.3%) underwent conservative surgery. Recurrence of hydatid cyst was recorded in 46 (15%) of cases. Patients who were treated with radical surgery in comparison with those who had conservative surgery had a lower recurrence rate but a longer duration of hospital stay (p<0.05). Conclusion: Recurrence remains as one of the major challenges in the management of hydatid cyst. Radical surgery reduces the chance of recurrence, although this procedure increases the length of hospital stay.This study was registered at Clinicaltrials.gov with registration ID of NCT04363151. https://clinicaltrials.gov/ct2/show/NCT04363151?cntry=IR&city=Shiraz&draw=2&rank=1

scholarly journals Bronchoscope saline injection method (ME Hejazi Method) in ruptured peripheral and central pulmonary hydatid cysts: a case series

2018 ◽  
Vol 37 (2) ◽  
pp. 159
Author(s):  
Mohammad Esmaeil Hejazi ◽  
Sepideh Tahsini Tekantapeh ◽  
Saeede Maddahi
Keyword(s):  
Hydatid Cyst ◽  
Case Series ◽  
Saline Injection ◽  
Hydatid Cysts ◽  
Suitable Alternative ◽  
Injection Method ◽  
Cyst Membrane ◽  
Alveolar Hydatid Disease ◽  
Male Patients ◽  
Pulmonary Hydatid Cyst

Background<br />This paper mainly focuses on patients with ruptured pulmonary Echinococcus granulosus infections (alveolar hydatid disease), who suffered from ruptured alveolar hydatid cyst. In this study we aimed to remove these ruptured central and peripheral pulmonary hydatid cysts by the bronchoscopic saline injection method (ME Hejazi method). <br /><br />Case description<br />In this retrospective study, we evaluated eight patients from an endemic area who were non-surgically treated for ruptured pulmonary hydatid cysts at Imam Reza hospital between 2016-2017. By the bronchoscopic saline injection method (ME Hejazi method), we extracted the entire hydatid cysts of all patients by fiber optic bronchoscopy for the detachment of the underlying membrane from the cavity wall. There were three female and five male patients, with a mean age of 40 ± 23 years (range 17–63 years). Ruptured cysts were located in the peripheral (2) and central (6) parts of the lungs. All of our experiences have been successful without any complications and residual cyst membrane. During the follow-ups, clinical and radiological recovery were seen in these patients.<br /><br />Conclusions<br />In the peripheral ruptured hydatid cysts, accurate recognition and location of the cyst is essential and the blind approach is not recommended because it needs several bronchoscopic interventions. Therefore the Hejazi method will be a beneficial and suitable alternative method for surgery in the treatment of patients with ruptured pulmonary hydatid cyst with cyst membrane adhesions.

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