Yonsei Med J.  2009 Dec;50(6):856-858. 10.3349/ymj.2009.50.6.856.

A Giant Pulmonary Hydatid Cyst Treated without Lobectomy

• Sinmaz E
• Celiksoz A

• KMID: 1777104
• DOI: http://doi.org/10.3349/ymj.2009.50.6.856

Abstract

A 20 year-old woman was admitted to our clinic complaining of dyspnea, cough, chest pain and pleural effusion. The diagnosis of pulmonary hydatid cyst was made on the basis of parasitology laboratory findings, computed tomographic results and chest radiographic findings. A giant pulmonary hydatid cyst (33x14x12 cm) was located in the left lower lobe, which involved more than 90% of the lobe. The patient was treated surgically using cystotomy and capitonnage. This is a case of a giant pulmonary hydatid cyst published in the literature, which was surgically treated without a lobectomy, by preserving the lung parenchyma.

Keyword

Giant hydatid cyst; lung; surgical treatment; albendazole

MeSH Terms

Albendazole/therapeutic use
Antiparasitic Agents/therapeutic use
Cystotomy/methods
Echinococcosis, Pulmonary/*diagnosis/radiography/*surgery
Female
Humans
*Pneumonectomy
Young Adult

Figure

• 

  Fig. 1 Posteroanterior radiograph of the giant pulmonary hydatid cyst, which pushed the heart to the right side, with an appearance similar to pleural effusion.

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  Fig. 2 The computed tomography scan demonstrating the cyst completely involved the left thorax.

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  Fig. 3 Posteroanterior chest radiograph of the patient on the14th postoperative day.

Reference

1. Aletras H, Symbas PN. Shields TW, LoCicero J, Ponn RB, editors. Hydatid disease of the lung. General Thoracic Surgery. 2000. 5th ed. Philadelphia: Lippincott Williams & Wilkins;1113–1122.

2. Saygı G. Hydatidosis in Turkey within the last fourteen years (1979-1993). 1996. Sivas, Turkey: Cumhuriyet University, Faculty of Medicine.

3. Topcu S, Kurul IC, Altinok T, Yazici U, Demir A. Giant hydatid cysts of lung and liver. Ann Thorac Surg. 2003. 75:292–294.

4. Dogan R, Yüksel M, Cetin G, Süzer K, Alp M, Kaya S, et al. Surgical treatment of hydatid cysts of the lung: report on 1055 patients. Thorax. 1989. 44:192–199.

5. Mawhorter S, Temeck B, Chang R, Pass H, Nash T. Nonsurgical therapy for pulmonary hydatid cyst disease. Chest. 1997. 112:1432–1436.

6. Nahmias J, Goldsmith R, Soibeteman M, el-On J. Three-to 7-year follow-up after albendazole treatment of 68 patients with cystic echinococcosis (hydatid disease). Ann Trop Med Parasitol. 1994. 88:295–304.

7. Shalabi RI, Ayed AK, Amin M. 15 Years in surgical management of pulmonary hydatidosis. Ann Thorac Cardiovasc Surg. 2002. 8:131–134.

8. Burgos L, Baquerizo A, Munoz W, de Aretxabala X, Solar C, Fonseca L. Experience in the surgical treatment of 331 patients with pulmonary hydatosis. J Thorac Cardiovasc Surg. 1991. 102:427–430.