Complicated hydatid cysts of the lung

被引:8
作者
Racil, H. [1 ]
Ben Amar, J. [1 ]
Moulay, R. El Filali [1 ]
Ridene, I. [2 ]
Cheikrouhou, S. [1 ]
Zarrouk, M. [1 ]
Chaouch, N. [1 ]
Chabbou, A. [1 ]
机构
[1] Hop Abderrahmen Mami, Serv Pneumol Allergol, Pavillon 2, Ariana, Tunisia
[2] Hop Abderrahmen Mami, Serv Imagerie Med, Ariana, Tunisia
关键词
Hydatid cyst lung; Complications; Epidemiology; Imaging; Thoracic surgery; PLEURAL COMPLICATIONS; DISEASE; ECHINOCOCCOSIS; DIAGNOSIS; TUNISIA;
D O I
10.1016/S0761-8425(09)72423-4
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Backround Hydatid disease which is caused by the parasite Echinococcus granulosis is one of the most important helminthic diseases. The parasitic infection is endemic in many areas world-wide, including the Mediterranean region. The lung is the second most common involved organ. In the present study, we review cases of complicated pulmonary hydatidosis, discussing pathophysiological mechanisms and the clinical, radiological features, as well as natural history and therapeutic options. Methods a retrospective study was conducted in the adult pulmonary department of The Tunis Chest Diseases and Surgery Training Hospital, a tertiary referral hospital for pulmonary diseases in Tunisia. Results 52 cases (mean age = 34.6 years) were evaluated between 1998 and 2008. Rupture of the hydatid cyst occurred into the bronchi in the majority of cases (86.5%) and into the pleura in 9.6%. Extrathoracic involvement was found in 17.3% of the cases. Diagnosis of pulmonary hydatidosis was based on a consistent clinical and radiological presentation. Recourse to CT scan of the chest was helpful for diagnosis in 28% of the patients, Fibre-optic bronchoscopy (performed in 64.5% of cases) confirmed the diagnosis in 4 patients with total endoscopic extraction of hydatid cyst membrane in 2 cases. Surgical treatment was performed in 44 cases; resection of lung parenchyma was necessary in 8 patients (18.2%). Medical treatment was associated in 2 cases. Outcome revealed recurrence of pulmonary hydatidosis in 3 patients, and the death of 1 patient with chronic pulmonary hypertension due to chronic hydatid pulmonary embolism. Conclusion complicated pulmonary hydatidosis may present some diagnostic difficulties, even in endemic regions. Management may be difficult, costly, and may require pulmonary resections.
引用
收藏
页码:727 / 734
页数:8
相关论文
共 23 条
  • [1] Pleural complications of hydatid disease
    Aribas, OK
    Kanat, F
    Gormus, N
    Turk, E
    [J]. JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2002, 123 (03) : 492 - 497
  • [2] THE RADIOLOGY OF HYDATID-DISEASE - REVIEW
    BEGGS, I
    [J]. AMERICAN JOURNAL OF ROENTGENOLOGY, 1985, 145 (03) : 639 - 648
  • [3] BRONSTEIN JA, 2005, EMC MALADIES INFECTR, P1
  • [4] Darwish Bassam, 2006, Prim Care Respir J, V15, P246, DOI 10.1016/j.pcrj.2006.05.006
  • [5] Delpy R, 2005, EMC MALADIES INFECT, P1
  • [6] Biological, epidemiological, and clinical aspects of echinococcosis, a zoonosis of increasing concern
    Eckert, J
    Deplazes, P
    [J]. CLINICAL MICROBIOLOGY REVIEWS, 2004, 17 (01) : 107 - +
  • [7] Radiological characteristics of pulmonary hydatid disease in children - Less common radiological appearances
    Erdem, CZ
    Erdem, LO
    [J]. EUROPEAN JOURNAL OF RADIOLOGY, 2003, 45 (02) : 123 - 128
  • [8] Control of hydatidosis
    Heath, D
    Yang, W
    Li, TY
    Xiao, YF
    Chen, XW
    Huang, Y
    Yang, Y
    Wang, Q
    Qiu, JM
    [J]. PARASITOLOGY INTERNATIONAL, 2006, 55 : S247 - S252
  • [9] CT findings in pulmonary hydatid disease
    Kervancioglu, R
    Bayram, M
    Elbeyli, L
    [J]. ACTA RADIOLOGICA, 1999, 40 (05) : 510 - 514
  • [10] KILANI T, 1992, ANN CHIR, V46, P160