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Cobanoglu U, Sayır F, Sehitoğlu A, et al. Therapeutic strategies for complications secondary to hydatid cyst rupture. Int J Clin Exp Med. 2011;4(3):220-6
Cobanoglu, U., Sayır, F., Sehitoğlu, A., Bilici, S., & Melek, M. (2011). Therapeutic strategies for complications secondary to hydatid cyst rupture. International journal of clinical and experimental medicine, 4(3), 220-6.
Cobanoglu, Ufuk, et al. "Therapeutic strategies for complications secondary to hydatid cyst rupture." International journal of clinical and experimental medicine vol. 4,3 (2011): 220-6.
Cobanoglu U, Sayır F, Sehitoğlu A, Bilici S, Melek M. Therapeutic strategies for complications secondary to hydatid cyst rupture. Int J Clin Exp Med. 2011;4(3):220-6. Epub 2011 Sep 15. PMID: 21977236; PMCID: PMC3182515.
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Int J Clin Exp Med. 2011;4(3):220-6. Epub 2011 Sep 15.

Therapeutic strategies for complications secondary to hydatid cyst rupture.

International journal of clinical and experimental medicine

Ufuk Cobanoglu, Fuat Sayır, Abidin Sehitoğlu, Salim Bilici, Mehmet Melek

PMID: 21977236 PMCID: PMC3182515

Abstract

OBJECTIVE: Clinical approach and therapeutic methods are important in cases with complicated hydatid cysts of the lung. This study was designed to retrospectively investigate cases with hydatid cysts, thereby discussing diagnostic methods, treatment modalities, and rates of morbidity and mortality in line with the literature.

METHODS: 176 cases with perforated hydatid cysts, who presented to our clinic and underwent surgery between 2003 and 2011, were included in the study. There were 71 (40.34%) females and 105 males (59.66%) with a mean age of 27.80±14.07. The most common symptom was dyspnea (44.31%) and the most common radiological finding was the water lily sign (21.02%). 88.06% of the cases were surgically treated by Cystotomy+closure of bronchial opening+ capitonnage, 3.97% by wedge resection, 4.54% by segmentectomy and 3.40% by lobectomy.

RESULTS: The cysts exhibited multiple localization in 24 cases (13.63%), bilateral localization in 14 cases (7.95%), with the most common localization (43.75%) being the right lower lobe. While the hydatid cyst rupture occurred due to delivery in three (1.70%), trauma in 11 (6.25%), and iatrogenic causes in seven (3.97%) cases, it occurred spontaneously in the rest of the cases (88.08%). Fourteen of the cases with spontaneously occurring rupture (7.95%) were detected to have received anthelmintic treatment for hydatid cyst during the preoperative period (albendazole). The rate of morbidity was 27.27% and the rate of mortality was 1.13% in our study. Two cases recurred during a one-year follow-up (1.13%).

CONCLUSION: Hydatid cyst rupture should be considered in the differential diagnosis of cases with pleural effusion, empyema, pneumothorax and pneumonia occurring in endemic regions. Symptoms occurring during and after perforation lead to errors in differential diagnosis. Performing the surgery without delay favorably affects postoperative morbidity and mortality. While parenchyma-preserving surgery is preferential, there is a need for resection in perforated hydatid cysts.

Keywords: Hydatid cyst; management; rupture

References

  1. Respiration. 2000;67(5):539-42 - PubMed
  2. Scand J Infect Dis. 1997;29(6):638-40 - PubMed
  3. Bull World Health Organ. 1996;74(3):231-42 - PubMed
  4. Surgery. 1969 Sep;66(3):488-91 - PubMed
  5. J Clin Lab Anal. 2001;15(1):14-8 - PubMed
  6. Eur J Cardiothorac Surg. 1997 Dec;12(6):903-6 - PubMed
  7. Ann Thorac Surg. 2004 Apr;77(4):1200-4 - PubMed
  8. Thorax. 1989 Mar;44(3):192-9 - PubMed
  9. Am J Med. 2004 Dec 1;117(11):887-8 - PubMed
  10. Cardiovasc Intervent Radiol. 1994 Sep-Oct;17(5):271-5 - PubMed
  11. Wilderness Environ Med. 2008 Summer;19(2):119-23 - PubMed
  12. J Invest Surg. 2006 Jan-Feb;19(1):61-8 - PubMed
  13. Eur J Cardiothorac Surg. 2001 Jun;19(6):914-7 - PubMed
  14. J Thorac Cardiovasc Surg. 1997 Apr;113(4):712-7 - PubMed
  15. Chest. 1997 Nov 5;112(5):1432-6 - PubMed
  16. J Hepatobiliary Pancreat Surg. 2003;10(6):441-5 - PubMed
  17. Ann Thorac Surg. 2002 Sep;74(3):889-92 - PubMed
  18. J Thorac Cardiovasc Surg. 1981 Oct;82(4):569-75 - PubMed
  19. J Thorac Cardiovasc Surg. 1967 Jan;53(1):116-29 - PubMed
  20. World J Surg. 1999 Nov;23(11):1105-9 - PubMed
  21. Can J Surg. 1996 Aug;39(4):293-6 - PubMed
  22. J Thorac Cardiovasc Surg. 2003 Sep;126(3):769-73 - PubMed
  23. Ann Thorac Surg. 1990 Oct;50(4):631-6 - PubMed

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