Non-Capitonnage Method for Surgical Treatment of Lung Hydatid Cysts

2005 ◽  
Vol 13 (1) ◽  
pp. 20-23 ◽  
Author(s):  
M Nesimi Eren ◽  
Akin E Balci ◽  
Şevval Eren
Keyword(s):  
Hydatid Cyst ◽  
Suture Material ◽  
Late Complication ◽  
Good Alternative ◽  
Significant Morbidity ◽  
Hydatid Cysts ◽  
Air Leak ◽  
Residual Cavity ◽  
Lung Hydatid

Capitonnage is usually advocated for obliteration of the residual cavity after removal of a hydatid cyst. To assess a non-capitonnage method, results in 33 patients were compared with those of 80 patients who had capitonnage. The non-capitonnage patients had a shorter mean hospital stay and earlier radiologic improvement but higher morbidity than the capitonnage patients. Extended air leak caused significant morbidity in each group. Bronchoscopic intervention was needed for atelectasis in 1 patient. There was no mortality in either group. In the follow-up period, no late complication or recurrence was observed in non-capitonnage patients. Among the capitonnage patients, 2 had bronchiectasis, and suture material expectoration occurred in one. The non-capitonnage method may be a good alternative to the capitonnage procedure for lung hydatid cyst. Better management of bronchial openings should improve the results of the non-capitonnage method.

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 Presentation and postoperative outcomes of residual cavity of liver hydatid cyst

2019 ◽  
Vol 6 (8) ◽  
pp. 2736
Author(s):  
Akram N. Dahel ◽  
Labeed Saadallah Abdulkareem
Keyword(s):  
Hydatid Cyst ◽  
Abdominal Ultrasound ◽  
Hydatid Cysts ◽  
Related Complication ◽  
Simple Closure ◽  
Liver Hydatid Cyst ◽  
Residual Cavity ◽  
Male Patients ◽  
A Prospective Study

Background: Hydatid disease is endemic in the Mediterranean region, the Middle East and South America. The aim of the study was to follow up the fate of residual liver hydatid cysts cavities after surgery.Methods: From the period of April 2014 to April 2017 a prospective study was conducted on sixty patients who were admitted to Fallujah Teaching Hospital for surgery of hydatid cyst of the liver. There were 36 female and 24 male patients who were followed up by serial abdominal ultrasound examinations at three monthly intervals for a period of up to two year.Results: Complete involution of the hydatid cavities occurs more in those treated by omentoplasty and simple closure and complications are lower than those treated by external drainage.Conclusions: Characteristics of liver hydatid cyst and the type of surgical treatment can be considered as a determinant of postoperative cavity related complication.

scholarly journals Disseminated Echinococcosis of the Lung and Central Compartment of the Neck

2013 ◽  
Vol 5 (1) ◽  
pp. 25-27
Author(s):  
MJ Paul ◽  
Nischal Rajendra Pandya ◽  
Lalit Choudhry ◽  
Birla Roy Gnanamuthu ◽  
Kochu Krishnan ◽  
...  
Keyword(s):  
Hydatid Cyst ◽  
Left Lung ◽  
Central Compartment ◽  
The Body ◽  
Human Beings ◽  
Hydatid Cysts ◽  
Larval Form ◽  
Causal Organism ◽  
Lung Hydatid

ABSTRACT Echinococcosis is a ubiquitous zoonosis. The causal organism is a flat tapeworm whose larval form causes infestations in human beings, who are its accidental hosts. It is known to occur in all parts of the body with the highest incidence in the liver, followed by the lung. Hydatid cysts in the neck are rare by themselves. We report a case of hydatidosis of the lung and central compartment of the neck, in a man who presented with pulmonary symptoms only. Computerized tomogram of the chest had revealed a hydatid cyst in the left lung and another incidental hydatid cyst in the neck. He underwent successful excision of both the cysts in one sitting. How to cite this article Pandya NR, Paul MJ, Choudhry L, Gnanamuthu BR, Krishnan K, Franklyn J, Kalita JP. Disseminated Echinococcosis of the Lung and Central Compartment of the Neck. World J Endoc Surg 2013;5(1): 25-27.

scholarly journals Surgical and anesthetic management of primary dumbbell shaped spinal hydatid cyst in lumbar vertebra: A rare case report

2021 ◽  
Vol 3 (3) ◽  
pp. 89-92
Author(s):  
Anuj Kumar Tripathi ◽  
Zahwa Rizwan ◽  
Shagfta Tahir Mufti ◽  
Saurabh Pathak ◽  
Om Prakash Gupta ◽  
...  
Keyword(s):  
Case Report ◽  
Hydatid Cyst ◽  
Anesthetic Management ◽  
Lumbar Vertebra ◽  
Hydatid Cysts ◽  
Cystic Hydatid Disease ◽  
Rare Case Report ◽  
Cystic Hydatid ◽  
Significant Health

Hydatid cyst is a very significant health problem in India. As recorded in the literature, majority of hydatid cysts are found in the liver followed by the lungs with an incidence rate of 60-70% and 10-15% respectively. Cystic hydatid disease in bones is seen in less than 4% of cases, with majority presenting in the spine. In this case report we have discussed primary intraspinal extradural hydatid cyst with paravertebral extension (dumbbell shaped) in lumbar vertebra which is a rarity. The diagnosis was established intraoperatively based on the findings with a follow up and review of literatures, along with its management.

scholarly journals Medical treatment for an isolated renal multilocular hydatid cyst in an elderly: a case report

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Atie Moghtadaie ◽  
Seyed Amir Miratashi Yazdi ◽  
Minoo Mohraz ◽  
Hoda Asefi ◽  
Effat Razeghi
Keyword(s):  
Medical Treatment ◽  
Hydatid Cyst ◽  
Medical Therapy ◽  
Clinical Symptoms ◽  
Renal Involvement ◽  
Hydatid Cysts ◽  
Medical Treatments ◽  
Case Presentation ◽  
Almost All

Abstract Background Almost all cases of renal hydatid cysts need surgical intervention for treatment. We report a case of isolated renal hydatid cyst treated successfully only with medical therapy. Case presentation This case is a 79-year-old veterinarian presented with right flank pain, hydatiduria and positive echinococcus granulosus serology. A 70*50 mm cyst with daughter cysts in mid-portion of right kidney on presentation was changed into a 60*40 mm cyst without daughter cysts at last follow-up. Due to patient’s refusal of surgery, our patient received medical treatment including praziquantel and albendazole. After completion of first round of treatment, recurrence occurred and the same treatment was repeated. At last, the cyst became inactive and calcified with negative serology and no clinical symptoms under medical treatment. Conclusion The treatment of choice in renal hydatid cyst is surgery; although there are some reports about the efficacy of medical treatments for hydatid cysts but lower rates of recurrence and higher efficacy put surgery in a superior position compared to medical approaches. Our case showed relative success of medical treatment, despite the presence of a large multilocular renal involvement. Thus, medical therapy without surgery can be considered in very particular cases with isolated renal hydatid cysts.

scholarly journals Vest-over-Pant Method for Closure of Residual Cavity of Liver Hydatid Cyst

HPB Surgery ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Saba Behdad ◽  
Akbar Behdad ◽  
Samin Behdad ◽  
Mehrdad Hosseinpour
Keyword(s):  
Hydatid Cyst ◽  
Bile Leakage ◽  
Hepatic Necrosis ◽  
Liver Anatomy ◽  
Cyst Volume ◽  
Ultrasound Study ◽  
Residual Cavity ◽  
Intraabdominal Sepsis ◽  
Cyst Cavity

Objective. Although several therapeutic strategies have proven to be effective for hydatid cyst of liver, but surgery is still the most common therapy despite its morbidity and mortality. Furthermore, a variety of technique has been recommended for managing the residual cavity after cystectomy. We report here a new technical method for the reconstruction of hydatid cyst residual cavity with using overlapping flaps of liver edges (Vest over Pant). Methods. In this technique after removing the cyst, the edges of one side of cyst cavity were sutured to the base of the cavity using three to four mattress sutures), and edges of other side of liver was overlapped on the dorsal part of previous layer using four to five mattress sutures. Therefore residual cavity dead space was obliterated with two surfaces of cavity. Results. Fifty males were treated by our method. The average cyst volume was  mL. There was no intraabdominal sepsis, bile leakage, or hepatic necrosis. In follow-up ultrasound study, residual cavities were disappeared one month after operation. Conclusion. Overlapping flaps of liver edges (Vest over Pant) provides easy, safe closure of cyst with preservation of the liver anatomy.

scholarly journals Modified Pair Technique for Treatment of Hydatid Cysts in the Spleen

2005 ◽  
Vol 5 (3) ◽  
pp. 74-78 ◽  
Author(s):  
Enver Zerem ◽  
Amir Nuhanović ◽  
Jasmin Caluk
Keyword(s):  
Hydatid Cyst ◽  
Hospital Stay ◽  
Hydatid Cysts ◽  
Single Session ◽  
Serologic Test ◽  
Initial Rise ◽  
Antibody Titres ◽  
The Mean ◽  
Cyst Cavity

The aim of this study was to evaluate the results of single-session sclerotherapy with mixture of alcohol and polidocanol and a subsequent injection of albendazole for devisceration of hydatid cysts in the spleen. Eight patients (four women and four men, average age 22.9±11.4 with hydatid cyst in the spleen were treated with 10 minutes time of exposure to mixture of ethanol 95% and polidocanol 1%. After that, 2 to 5 ml of albendazole was injected into the cyst cavity. Two patients had 2 cysts. At follow-up the patients were examined with clinical and biochemical examinations, ultrasonography, and serologic test for echinococcal antibody titres. The mean hospital stay was 2.5±0.93 days. During the follow-up period, mean cyst diameter decreased from 46±16.4 mm to 13.6±16.26 mm. In all ten cysts, a reduction of post procedural recolection of fluid over 40% was observed. Five cysts (50%) disappeared during the follow-up period. All cysts (5) smaller then 50 mm in diameter disappeared during follow-up period. After an initial rise, the echinococcal-an-tibody titres fell progressively and at the last follow-up were negative (< 1: 160) in 7 (88%) patients. No complications were observed, except for pain, fever and urticaria during the first 24-hours after the procedure. Sclerotherapy using only one session and 10 min time of exposure to the mixture of ethanol and polidocanol, and a subsequent injection of al-bendasole solution represents an effective treatment of hydatid cysts in the spleen. This procedure is even more efficacious for hydatid cyst with diametar smaller then 50mm.

scholarly journals The Results of Conservative Approaches for Pulmonary Hydatid Cysts.

2017 ◽  
pp. 410-416
Author(s):  
Fouad Atoini ◽  
Aziz Ouarssani ◽  
Mounia Serraj ◽  
Yassine Ouadnouni ◽  
Mohammed Smahi
Keyword(s):  
Median Duration ◽  
Univariate Analysis ◽  
Public Health Problem ◽  
Middle Lobe ◽  
Hydatid Cysts ◽  
Duration Of Hospitalization ◽  
Residual Cavity ◽  
Postoperative Drainage ◽  
Pulmonary Parenchyma ◽  
Lung Hydatid

Pulmonary hydatid cysts remains a public health problem in Morocco. We present the results of the conservative methods for treating the pulmonary hydatid cysts in 56 patients including the giants forms (>10 cm) and the complicated cases. 71 cystectomies, one pericystectomy and one wegde resection realized by thoracotomy. There were 33 men and 23 women. The median age was 25 years (range 8-64 years). The lower lobes were affected in 72%. Hepatic cysts were associated in 13 patients (23%). The median duration of postoperative drainage was 6 days (range 2-48 days) and the median duration of hospitalization was 9 days (range 5-28 months). The median duration of follow-up was 15 months (range 3-46 months). Univariate analysis did not reveal significance when we compared the postoperative course according to the localizations on the lungs, the nature of the cysts, the presence of infection and the size of cysts. The conservative approaches, mainly cystectomies area safe and effective method for lung hydatid cysts, if the closure of the bronchial fistulas is well performed, that the capitonnage is adapted to the size of the residual cavity, and its location in the lung to avoid bronchial torsion and deformation. We suggest this technique for the management of lung hydatid cysts, outside the cases of significant destroyed pulmonary parenchyma mainly thus located on the middle lobe. We believe that lobectomy must be taken very carefully, mainly in infant and the older patients. Keywords: Cystectomy, Hydatid Cyst, Morocco, Lung, Results, Surgery.

Hydatid cyst of the pterygopalatine-infratemporal fossa

1996 ◽  
Vol 110 (10) ◽  
pp. 978-980 ◽  
Author(s):  
K. Gangopadhyay ◽  
M. O. Abuzeid ◽  
H. Kfoury
Keyword(s):  
Hydatid Cyst ◽  
Head And Neck ◽  
Hydatid Disease ◽  
Larval Stage ◽  
Infratemporal Fossa ◽  
Neck Region ◽  
The Body ◽  
Head And Neck Region ◽  
Lung Hydatid

AbstractHydatid disease is caused by the parasitic tapeworm Echinococcus. This parasite in larval stage can thrive in many parts of the body, most commonly in the liver and the lung. Hydatid disease in the head and neck region is rare. An unusual location for hydatid disease in the pterygopalatine fossa-infratemporal fossa is presented. The patient did not have evidence of any other cyst on a ten-year follow-up.

scholarly journals Multiple Lung Hydatid Cysts and Cardiac Hydatid Cyst: A Rare Presentation

2015 ◽  
Vol 14 (4) ◽  
pp. 393-395
Author(s):  
Shyam Garg ◽  
Umesh Umesh ◽  
Varinder Pal Singh ◽  
Nitin Gupta ◽  
Jayant Aggarwal ◽  
...  
Keyword(s):  
Hydatid Cyst ◽  
Interventricular Septum ◽  
Medical Science ◽  
Hydatid Cysts ◽  
Rare Presentation ◽  
Lung Hydatid

Hydatid cysts are commonly present in liver. Cardiac hydatid cysts are very rare and represent less than 2% of all cases of hydatidosis. They can occur as widespread infection or as an isolated event. We present here a case with multiple lung hydatid cysts and a single cardiac hydatid cyst involving the apical antero-interventricular septum. A brief overview of disease and the investigations to establish the diagnosis is discussed here with introduction.Bangladesh Journal of Medical Science Vol.14(4) 2015 p.393-395

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