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 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.

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 Surgical Treatment and Follow-Up of Pulmonary Hydatid Cyst

2003 ◽  
Vol 12 (2) ◽  
pp. 112-116 ◽  
Author(s):  
Adel K. Ayed ◽  
Emad Alshawaf
Keyword(s):  
Surgical Treatment ◽  
Hydatid Cyst ◽  
Pulmonary Hydatid Cyst

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.

SPINAL INTRADURAL EXTRAMEDULLARY HYDATIDOSIS

Neurosurgery ◽  
2009 ◽  
Vol 65 (2) ◽  
pp. 372-377 ◽  
Author(s):  
Fayçal Lakhdar ◽  
Yasser Arkha ◽  
Loubna Rifi ◽  
Said Derraz ◽  
Abdessamad El Ouahabi ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Postoperative Treatment ◽  
Resonance Imaging ◽  
Spinal Magnetic Resonance Imaging ◽  
Intradural Extramedullary ◽  
Cyst Rupture

Abstract OBJECTIVE Spinal hydatid cyst is a serious form of hydatid disease affecting fewer than 1% of all patients with hydatid disease. We report 3 healthy patients who presented with progressive paraparesis attributed to a histologically proven intradural hydatid cyst. METHODS There were 2 children (1 boy, 1 girl) and 1 adult with a mean age of 12 years. The median follow-up duration was 16 months. Spinal magnetic resonance imaging was performed in the 3 patients, and an anatomic and topographical diagnosis of the intradural hydatid cyst was made. RESULTS Magnetic resonance imaging scans revealed cystic lesions with peripheral contrast enhancement. Surgery was performed through laminectomy, complete resection was achieved, and antihelminthic treatment with albendazole 10 mg/kg−1 per day for 6 months was included in the postoperative treatment. The patients improved after surgery with normal motor function. CONCLUSION This localization is rare and serious, but its prognosis is excellent if diagnosis is made early enough and surgery is performed in time to prevent cyst rupture.

Intact endobronchial hydatid cyst: an unexpected bronchoscopic challenge

2017 ◽  
Vol 26 (1) ◽  
pp. 60-62 ◽  
Author(s):  
Adil Zamani ◽  
Sebnem Yosunkaya
Keyword(s):  
Hydatid Cyst ◽  
Rare Case ◽  
Fiberoptic Bronchoscope ◽  
Diagnostic Challenge ◽  
Long Term Follow Up ◽  
Pulmonary Hydatid Cyst

We describe a rare case of intact endobronchial hydatid cyst that posed a diagnostic challenge because of an unusual imaging manifestation (atelectasis) and unexpected bronchoscopic findings. Although the role of bronchoscopy in the management of pulmonary hydatid cyst is still controversial, 6 cases of complicated pulmonary hydatid cyst removed completely by suction through a fiberoptic bronchoscope have been reported so far. To the best of our knowledge, this is the first nonsurgically treated case of intact endobronchial hydatid cyst with an uneventful long-term follow-up.

scholarly journals Comparison of the outcome of transverse and circumferential capitonnage in surgical treatment of pulmonary hydatid cyst - a single centre study

2021 ◽  
Vol 15 (2) ◽  
pp. 13-17
Author(s):  
Farooq Ahmad Ganie ◽  
Masarat ul Gani ◽  
Khan M Yaqoob ◽  
Syed Mohsin Manzoor ◽  
GN Lone ◽  
...  
Keyword(s):  
Hydatid Cyst ◽  
Hospital Stay ◽  
Fluid Collection ◽  
Postoperative Recovery ◽  
Air Leaks ◽  
Single Centre Study ◽  
Group 2 ◽  
Pulmonary Hydatid Cyst ◽  
Group 1

Background and objectives: The enucleation of the pulmonary hydatid cyst is followed by individual closure of bronchial air leaks and obliteration of the residual pericystic cavity by capitonnage, either by circumferential or interrupted transverse suture. The objective of the study was to compare the surgical outcome of transverse and circumferential capitonnage in terms of postoperative recovery course, residual cavitations, air leaks, cavitatory or pleural collections and the recurrence of primary disease after enucleation of the pulmonary hydatid cyst. Methods: Patients with pulmonary hydatid cyst were included in the study and divided into two groups. Each group consisted of 30 patients. Patients of Group-1 underwent enucleation of the hydatid cyst followed by closure of bronchial air leaks with classical circumferential closure of the cavity and patients of Group-2 had enucleation of the hydatid cyst and closure of the cavity by transverse capitonnage. Results: Ten cases (33.33%) of Group-1 had hospital stay for more than 5 days compared to 4(13.33%) in Group-2 (p=0.03). Out of 30 patients who had undergone circumferential closure of the hydatid cavity, 5 (16.67%) patients had residual cavitatory fluid collection while there was none in the other group. In Group-1, 7 (23.3%) cases had reactionary intrapleural fluid collection compared to 2 (6.6%) in Group-2 (p=0.035). After 3 months of follow-up, 4 patients in circumferential capitonnage had mild haemoptysis and 1 had aspergilloma while no such complication occurred in any patient in the transverse capitonnage group. No recurrence of cyst occurred in any case in both groups. Conclusion: There was a considerable advantage of transverse capitonnage of the hydatid lung cavity after enucleation in terms of short hospital stay, minimal or no reactionary intrapleural or intra cavitatory collections and less air leaks. Ibrahim Med. Coll. J. 2021; 15(2): 13-17

scholarly journals Hydatid cyst of the interventricular septum

2017 ◽  
Vol 2017 (1) ◽  
Author(s):  
Endale Tefera ◽  
Joseph Knapp ◽  
Michael Teodori
Keyword(s):  
Hydatid Cyst ◽  
Cardiac Involvement ◽  
Interventricular Septum ◽  
Arterial Embolism ◽  
Coronary Syndrome ◽  
Life Threatening ◽  
Peripheral Arterial ◽  
Cyst Rupture ◽  
Human Echinococcosis

While cardiac involvement is not a common presentation in human echinococcosis, it may lead to life-threatening complications including cyst rupture; anaphylactic shock; tamponade; pulmonary, cerebral or peripheral arterial embolism; acute coronary syndrome; dysrhythmias; infection; ventricular or valvular dysfunction, as well as sudden death. Here we report a 9-year old girl who was diagnosed to have hydatid cyst of the interventricular septum four years after diagnosis and medical treatment of pulmonary hydatidosis. Presentation, management and follow-up of the patient is discussed. 

scholarly journals Giant viable isolated hydatid cyst of lung and liver with successful surgical outcome in rural setup: a case report

2017 ◽  
Vol 4 (10) ◽  
pp. 3539
Author(s):  
Tushar Goel ◽  
Ankit Sharma ◽  
Sankalp Dwivedi ◽  
Sameer Singal
Keyword(s):  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Elective Surgery ◽  
Bronchopleural Fistula ◽  
Good Prognosis ◽  
The Body ◽  
Successful Outcome ◽  
Chest X Ray ◽  
Upper Abdomen

Hydatid disease has been known since the time of Hippocrates. Hydatid disease is a worldwide parasitic infestation caused by Echinococcus Granulosus characterized by cystic lesions mostly in the liver and lungs with fewer in other parts of the body. Patient details were collected by patient’s IPD file. Complete detailed history, patient vitals, haemogram, ABO, with USG abdomen thorax and CECT chest and upper abdomen was done. Post operatively the outcome was followed by USG R/v and Chest X ray. Treatment diagnosis was giant viable hydatid cyst lung and liver. Right thoracotomy with 5th rib cutting incision was given. Cyst was visualized and managed along with repair of bronchopleural fistula. Hydatid liver was operated later after 3 weeks as elective Surgery. Post-operative period was uneventful with successful outcome. The case was managed successfully by surgical intervention. Surgery remains the choice of complete evacuation of hydatid cyst. Non-complicated hydatid cysts have a good prognosis regardless of their size. Regular follow-up is usually advised to prevent recurrence and spread. 

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