Giant viable isolated hydatid cyst of lung and liver with successful surgical outcome in rural setup: a case report
DOI:
https://doi.org/10.18203/2349-2902.isj20174534Keywords:
Bronchopleural fistula, CECT chest, Echinococcus Granulosus, Thoracotomy, Viable hydatid cystAbstract
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.
References
Kavukcu S, Kilic D, Tokat AO, Kutlay H, Cangir AK, Enon S, et al. Parenchyma-preserving surgery in the management of pulmonary hydatid cysts. J Invest Surg. 2006;19(1):61-8.
Safioleas M, Misiakos EP, Dosios T, Manti C, Lambrou P, Skalkeas G. Surgical treatment for lung hydatid disease. World J Surg. 1999;23(11):1181-5.
Karaoglanoglu N, Kurkcuoglu IC, Gorguner M, Eroglu A, Turkyilmaz A. Giant hydatid lung cysts. Eur J Cardiothorac Surg. 2001;19(6):914-7.
Punia RS, Kundu R, Dalal U, Handa U, Moha H. Pulmonary hydatidosis in a tertiary care hospital. Lung India. 2015;32(3):246-9.
Robert ES, Eugene JM, William FM, Sally HE, Stacey M. Case records of the Massachusetts general hospital. Weekly clinicopathological exercises. Case 29 1999. A 34-year-old woman with one cystic lesion in each lung. N Engl J Med. 1999;341(13):974-82.
Saidi F. Treatment of Echinococcal cysts. In mastery of surgery 3rd edition. Edited by: Nyhus LM, Baker RJ, Fisher JE. Boston, New York, Toronto, London: Little, Brown and Co; 1997:1035-52.
Beggs I. The radiology of hydatid disease. AJR Am J Roentgenol. 1985;145(3):639-48.
Perez-Fontana V. New method of upering in the pulmonary hydatico cyst. Arch Pediatr Uruguay. 1948;19:5-36.
Aletras H, Symbas PN. Hydatid disease of the lung. In: Shields TW, ed. General thoracic surgery. 2nd ed. Philadelphia: Lea and Febiger; 1983:645-57.
Ayusa LA, Peralta GT, Lazaro RB, Stein AJ, Sanchez JA, Aymerich DF. Surgical treatment of pulmonary hydatidosis. J Thorac Cardiovasc Surg. 1981;82:569-75.
Braitwaite PA, Roberts MS, Allan RJ, Watson TR. Clinical pharmacokinetics of high dose mebendazole in patients treated for cystic hydatid disease. Eur J Clin Pharmacol. 1982;22:161-96.
