Postoperative Recurrent Abscess in Pulmonary Hydatid Cyst

Abstract

Cystic echinococcosis (CE) is a disease that is endemic in our country and occurs as a result of the contamination of the eggs of the parasite Echinococcus granulosus. The first preferred treatment method in lung involvement of CE is surgery. In our study, we aimed to present a patient with postoperative recurrent intrathoracic extraparenchymal abscess focus who was operated for giant hydatid cyst. A 21-year-old male patient was admitted to our clinic with the complaint of chest pain. In the radiological examinations of the patient, a recurrent 122*62 mm abscess was detected despite being drained twice. The patient underwent a thoracotomy, the abscess was drained, and omentoplasty was performed to prevent air leakage due to severe destruction of the lung parenchyma of the patient whose cyst pouch was left open in the first operation. There are different surgical procedures for pulmonary hydatid cysts, but the first choice should be cystotomy + capitonage because if the cyst pouch is left open, it can cause abscess, empyema and lung destruction.