Pulmonary Hydatid Research Articles

Pulmonary Hydatid without Liver Involvement: A Case Series

Pulmonary Hydatid without Liver Involvement: A Case Series

Pitfalls in the surgical treatment of undiagnosed lung lesions and cystic pulmonary hydatidosis

BackgroundHydatid cysts can mimic many lung pathologies radiologically, as well as some malignant or benign lung tumors may show hydatid cyst-like radiological features. The aim of our study is to present our clinical experience and recommendations by analyzing the cases that create diagnostic difficulties by presenting a common radiological pattern with a pulmonary hydatid cyst.MethodsThe patients who were operated on with a preliminary diagnosis of hydatid cyst but were diagnosed differently, and who were operated on with different prediagnoses and unexpectedly diagnosed with hydatid cyst were included in the study. The clinical and radiological features of the patients were documented, and the features of the cases that could cause difficulties in diagnosis and treatment for the surgeon were revealed.ResultsA total of 20 patients who were radiologically suggestive of hydatid cyst but were diagnosed differently or unexpectedly diagnosed as hydatid cyst were included in the study. Lung cancer, bronchogenic cyst, or bronchiectasis were detected in 13 patients who were radiologically suggestive of hydatid cyst. There were 7 patients who were diagnosed with hydatid cysts, although they did not have specific radiological findings.ConclusionsWhile hydatid cysts can mimic many lung pathologies, many benign or malign parenchymal lung pathologies may exhibit hydatid cyst-like radiological features. Therefore, in regions where a hydatid cyst is endemic, the surgeon should consider all possibilities while managing the cases.Clinical registration number: Institutional Review Board of the Dr Suat Seren Chest Diseases and Chest Surgery Education and Research Center (No. 49109414-604.02).

Lung magnetic resonance imaging in pulmonary hydatid in children.

ENWEndNote BIBJabRef, Mendeley RISPapers, Reference Manager, RefWorks, Zotero AMA Sodhi K, Bhatia A, Saxena AK. Lung magnetic resonance imaging in pulmonary hydatid in children. Polish Journal of Radiology. 2022;87(1):186-186. doi:10.5114/pjr.2022.115123. APA Sodhi, K., Bhatia, A., & Saxena, A. K. (2022). Lung magnetic resonance imaging in pulmonary hydatid in children. Polish Journal of Radiology, 87(1), 186-186. https://doi.org/10.5114/pjr.2022.115123 Chicago Sodhi, Kushaljit Singh, Anmol Bhatia, and Akshay K Saxena. 2022. "Lung magnetic resonance imaging in pulmonary hydatid in children". Polish Journal of Radiology 87 (1): 186-186. doi:10.5114/pjr.2022.115123. Harvard Sodhi, K., Bhatia, A., and Saxena, A. (2022). Lung magnetic resonance imaging in pulmonary hydatid in children. Polish Journal of Radiology, 87(1), pp.186-186. https://doi.org/10.5114/pjr.2022.115123 MLA Sodhi, Kushaljit Singh et al. "Lung magnetic resonance imaging in pulmonary hydatid in children." Polish Journal of Radiology, vol. 87, no. 1, 2022, pp. 186-186. doi:10.5114/pjr.2022.115123. Vancouver Sodhi K, Bhatia A, Saxena A. Lung magnetic resonance imaging in pulmonary hydatid in children. Polish Journal of Radiology. 2022;87(1):186-186. doi:10.5114/pjr.2022.115123.

Splenic-preserving surgery in hydatid spleen: a single institutional experience.

Though hydatid disease affects many organs in the human body, splenic hydatid accounts for approximately 0.8-4% of all human echinococcosis cases. Up to recently, splenectomy was the preferred surgery for hydatid spleen. Since 1980, conservative options to treat such a disease have become more and more prevalent. Our study aimed to assess our experience in open splenic preservative surgery for splenic hydatid in a single institutional center. Our retrospective research included ten patients with splenic hydatid operated between August 2013 and January 2018 at our medical center. The spleen was affected alone in seven cases, the liver and spleen were affected in three cases, and one of the patients had intra-peritoneal cyst disease. The diagnosis was confirmed primarily by ultrasonography. In some instances, computed tomography and magnetic resonance imaging were required. A chest x-ray was performed to rule out pulmonary hydatid in all patients. Open surgery procedure, field isolation, cystic fluid aspiration, and injection of 1% cetrimide solution, respiration, endocystectomy, suture of cystic edges to the intracystic tube drain were performed. All surgeries had albendazole before and after the operation 15 mg/kg/day. There were no significant intra or postoperative complications, and no further surgery was required. Patients remained hospitalized for 3-5 days. No recurrence after 1-3 follow-up years. However, three patients failed to follow up within two years. Our experience with splenic hydatids prompts us to use splenic conservation surgery whenever possible instead of splenectomy.

Radiotherapy for the treatment of pulmonary hydatidosis in sheep.

Hydatidosis is an endemic disease causing a severe threat to public health. Drugs and surgery have been utilized for treatment, but their efficiency is not adequate. Therefore, new methods are required for treating such diseases. In this study, we attempt to evaluate the efficiency of radiotherapy for hydatidosis in sheep. The sheep naturally infected with pulmonary hydatid were randomly divided into four groups, including the control group subjected to no irradiation and the other three groups subjected to 30, 45, and 60 Gy irradiation, respectively. Gene expression of caspase-3 and gadd45a and protein expression of BCL-2 and BAX in the lung tissues were evaluated after treatment. Our data showed that the irradiation with a dose of 30, 45, and 60 Gy significantly induced the expression of caspase-3 and gadd45a. Immunohistochemical staining showed that the BCL-2 protein was downregulated after exposure to 45 Gy of irradiation, whereas the BAX expression was downregulated after irradiation at a dose of 45 and 60 Gy, respectively. On this basis, we speculated that 45 Gy might be a safe and effective dose for treating pulmonary hydatidosis in sheep, which induced lower expression of caspase-3 and gadd45a in the cyst and a downregulation of BCL-2 and BAX in the adjacent lung tissues.

Surgery to preserve the spleen with cardiac involvement in hydatid cyst diseases

Background: Despite the fact that hydatid illness affects several organs in the body most commonly seen in the liver (50-70%) and lungs (20-30%), intracardiac hydatid cyst localization occurring in only 0.02 - 2% of cases of Cardiac involvement can occur as a result of systemic or pulmonary circulation. The left ventricle is the most often affected location (75%), followed by the right ventricle (15%), the interventricular septum (5-9%), the left atrium (8%), the pericardium (8%), the pulmonary artery (7%), and the right atrium (3 -4%). on the other hand, splenic hydatid accounts for only 0.8-4% of all human echinococcosis cases. Splenectomy was the standard surgical treatment for splenic hydatid until recently. Since 1980, there has been a growing trend toward using conservative treatment options to treat such pathology. Aim of the study: In a single institutional study, we wanted to assess our experience with open splenic-preserving surgery for splenic hydatid and it is crucial to detect cardiac involvement early and provide surgical intervention as soon as possible. Patient and methods: In retrospective research, ten patients with splenic hydatid were operated on in our medical center between August 2013 and January 2018. In 7 cases, the spleen was affected alone, in 3 cases, the liver and spleen were both afflicted, and one of them also showed intraperitoneal cyst affection. Ultrasonography was used to confirm the diagnosis. It required computed tomography (CT) and magnetic resonance imaging (MRI) in some circumstances. All patients got a chest X-ray to rule out pulmonary hydatid. The most important diagnostic method includes serologic testing cardiac imaging by echo-cardiography, CT and MR imaging to detect cardiac involvement in hydatid diseases. The surgical procedure was used as an open one. Isolation of the field, aspiration of cystic fluid and injection of 1% cetrimide solution, re-aspiration, endocystectomy, and suturing of cystic margins over the intracystic tube drain. All surgeries were performed with albendazole (15 mg/kg/day) as a pre-and post-operative treatment. Results: There were no major intraoperative or postoperative problems. There was no need for a second procedure. 3-5 days in the hospital after a (1-3) year follow-up, there was no recurrence. Three patients, however, failed to follow up after two years and as for cardiac hydatid cysts, it can induce deadly consequences such as rupture and embolization, surgical resections combined with medicinal therapy are the best therapeutic option. Conclusion: Our experience with splenic hydatid motivates us to employ splenic-preserving surgery rather than splenectomy if appropriate. Cardiac hydatid cyst illness can occasionally produce a fistula between the coronary and pulmonary arteries. Therefore, to provide best possible treatment cardiac cyst must be investigated in endemic countries as early as possible.

Long-term outcome of minimal access surgery for hydatidosis in children: a single institutional experience

Human cystic echinococcosis continues to be a public health problem worldwide. The standard treatment of hydatidosis in children is open surgical intervention for removal of the cyst completely without spillage. The limited use of minimal invasive surgery (MIS) in hydatidosis has been due to the concern of inadequate removal and spillage, leading to recurrence or dissemination of the disease. Recently, a few authors have reported the successful use of minimal invasive surgery (MIS) for management of hydatid disease in children. We present our experience with successful use of MIS in the management of hydatid disease involving lung and liver in children. Between 2006 and 2017, data of 22 children treated for hydatid disease in our institute were reviewed. The diagnosis was made radiologically with Computerised Tomography scan of chest and abdomen. All children received albendazole therapy prior to and after the surgery. Thoracoscopic/laparoscopic procedures were undertaken sequentially in all children. Children with synchronous disease involving lung and liver had an interval of 2 weeks between procedures. The techniques of puncture, aspiration, injection and re-aspiration (PAIR) and also our modifications of cyst removal are described. There were a total of 22 children with liver and or lung involvement. Four children had synchronous lung and liver involvement and four children had bilateral lung involvement. The duration of the procedure ranged from 60 to 90 min. There were 3 (18) conversions in the thoracic group and 1 (12) in the laparoscopic group. PAIR technique with our modification of cyst extraction was used in all except in one child. Capitonnage of the cyst wall in lung hydatidosis was not done. There were no postoperative events. Recurrence of the lesion at original site was seen in two children, one each in laparoscopic and thoracoscopic group. Occurrence of new lesion or dissemination of the disease was not identified on a mean follow-up of 7 years. Our series demonstrates the safe and effective utility of MIS in management of pulmonary and liver hydatid in children. Use of MIS does not lead to dissemination of the disease. Albendazole therapy is an useful adjunct prior to surgery. Single lung ventilation with isolation of uninvolved lung is useful during surgery for lung hydatid.

Imminent air in the pulmonary hydatid – communicating rupture

Pulmonary hydatid cyst (PHC) is an important clinical problem in endemic areas to echinococcal infection. The cysts are characteristically seen as solitary or multiple circumscribed or oval masses on imaging. The characteristic imaging appearance changes with rupture of the cyst. Surgery is the recommended form of treatment. We present two cases of ruptured PHC with communicating rupture into the bronchus.

Association aspergillome et kyste hydatique pulmonaire

Association aspergillome et kyste hydatique pulmonaire

Abordaje transtorácico para la hidatidosis pulmonar derecha y hepática concomitante

Transthoracic approach for concurrent right lung and liver hydatid cysts Introduction: Pulmonary and hepatic hydatid disease occurs concomitantly in 4 to 33% of cases. When the condition is localized in the right lung and liver dome surgical resolution in one time is possible. Objective: To describe the transthoracic-transfrenic approach and review the available literature. Material and Methods: We report two cases operated at our institution through a right posterolateral thoracotomy and frenotomy in one stage, with uneventful postoperative evolution. A systematic review of the literature was conducted in the PubMed database period 1990-2011. Five studies met the inclusion criteria. Conclu- sions: Transthoracic-transfrenic approach is feasible and safe, allowing the surgical resolution in one time through a single incision, without another anesthetic procedure or subsequent laparotomy, with low morbidity and mortality.

Aspergilloma in a Pulmonary Hydatid

Aspergilloma infection in the lung can occur in preexisting cavities and is usually seen after tuberculosis, pulmonary infarction and bronchestasis. Occassionally aspergilloma has been reported within a hydatid cyst. We describe a patient with aspergilloma formed within cyst hydatid. The primary symptom in this patient was recurrent hemoptysis. In this 42-year-old male, the diagnosis was established by HRCT chest. Treatment consisted of postero-lateral thoracotomy with a bilobectomy of lower and middle lobe. Aspergilloma is an unusual complication of hydatid cyst and results from the deterioration of local defence against opportunistic infections.

The Results of Radiological and Serological Screening in Individuals Sharing the Same Living Space as Patients with Hydatid Cyts

Common sociocultural behavior and common hygienic habits may lead lead to the existence of parasites in many people living in the same environment. The main objective of this study was to investigate the incidence of disease in individuals sharing the same living space. A total of 102 individuals with no previous diagnosis of hydatid cyst and sharing the same living space with 40 patients and who were operated on between 2007 and 2011 were included in the study. All the patients were evaluated with chest radiography, abdominal ultrasonography and serological tests. Thirteen (12.74%) of the 102 individuals who were screened for hydatid cyst were found to have hydatidosis. One patient with pulmonary hydatid had false negative results in serological assays. IHA was negative in two patients, one with hepatic and splenic hydatid cyst, and one with isolated hepatic hydatid cyst; the diagnosis was confirmed by a positive ELISA in both cases. This study has aimed to demonstrate the risk of developing hydatid cyst in individuals sharing the same living space as patients with hydatid cysts, unlike the screening tests performed in endemic areas. A rate of 12.74% is considerable when applied to larger populations.

One-stage transthoracic operation in pulmonary, pericardial and hepatic hydatid cysts

Ulkemiz kist hidatik icin endemik bir bolgedir. Echinococcus granulosus en sik karaciger ve akciger olmak uzere tum organlari tutabilmektedir. Olgularin yaklasik ucte birinde multipl organ tutulumu gorulmektedir. Multipl kist hidatigin cerrahi tedavisinde zorluklarla karsilasilabilmekte ve birkac seans cerrahi i lem gerekebilmektedir. Bu calismada tek basamakta transtorasik yaklasim ile cerrahi uyguladigimiz sag akciger, perikardial ve karaciger kist hidatikli bir olguyu sunduk.

Giant pulmonary and hepatic hydatid cysts in a child

This case report focuses on hydatidosis, one of the most important parasitic zoonoses in Romania. We describe an interesting paediatric case of an eight-year old boy from a rural region presenting with a both giant and life-threatening pulmonary cyst (that was successfully managed) and a hepatic cyst. Noteworthy are the negative consequences of this disorder on children's health and development as a result of prolonged hospitalizations, surgical interventions and chemotherapy.

One-stage surgical management for lung and liver hydatid diseases

BACKGROUND: Hydatid disease remains a serious health problem in Mediterranean areas. We reviewed the efficacy of a single-stage operation in coexisting cysts of lung and liver in patients. METHODS: Forty-one patients operated for the cysts located on the dome of the liver and right lung with one-stage surgical approach on between 1990 and 2010. There were 19 males (46%) and 22 females (54%) patients. The age range was 10–82 years, with a median age of 34 years. RESULTS: All patients had simultaneous operations for both organs via right thoracotomy and phrenotomy except one patient. Surgical techniques used in the lung were cystotomy and capitonnage, with wedge resection of the destroyed lung parenchyma in three (7.3%) and additional decortication in three (7.3%). Cystotomy was applied with membrane removal in the liver cysts. Postoperative complications were prolonged biliary drainage, empyema, prolonged air leak, pleural effusion in one case (2.4%) each, respectively. All patients managed successfully and discharged. No hospital mortality occurred. CONCLUSIONS: We propose that concomitant right pulmonary and liver dome hydatid cysts can be treated effectively and safely in a one-stage operation through a right posterolateral thoracotomy and phrenotomy.

Coexistence of pulmonary tuberculosis and hydatid cyst

Pulmoner kist hidatik ve tuberkuloz ulkemizde sik gorulen ve nadiren birlikte olan iki hastaliktir. Yirmi yasinda erkek hasta oksuruk, ates ve gogus agrisi sikayetleri ile basvurdu. Radyolojisinde sag akciger alt lobda anterobazal segmentte ~4x5 cm boyutlarinda duzgun sinirli, kalin cidarli heterojen dansitede kaviter lezyon ve komsulugunda noduler infiltratif gorunumler saptandi. Hastaya kistotomi-kapitonaj ve noduler alana wedge rezeksiyon yapildi. Histopatolojik inceleme pulmoner kist hidatik ve tuberkuloz birlikteligi olarak rapor edildi. Bu iki hastaligin sik goruldugu yerlerde, tuberkulozun tespit edilmesi durumunda operasyon aciliyet gostermiyorsa iki haftalik antituberkuloz tedavinin ardindan hastanin opere edilmesinin postoperatif komplikasyonlari azaltacagini dusunmekteyiz. Anahtar sozcukler: Akciger, kist hidatik, es zamanli, tuberkuloz

The Role of Radiofrequency Ablation in the Management of Pulmonary and Hepatic Hydatid Cysts

The Role of Radiofrequency Ablation in the Management of Pulmonary and Hepatic Hydatid Cysts

Hydatid Cyst in the Pulmonary Artery: An Uncommon Localization.

Abstract Pulmonary artery involvement of hydatid disease caused by the Echinococcus granulosus parasite is an uncommon condition resulting from the opening of a visceral hydatid cyst into the venous circulation or the rupture of a cardiac hydatid cyst. We report a case of a 31-year-old woman with a hydatid cyst located in the right pulmonary artery. Clinical presentation was fatigue, cough, and dyspnea. Diagnosis was made by chest x-ray, computed tomography, and magnetic resonance imaging. The cyst was extracted under total circulatory arrest. Diagnosis and surgical therapy of the intraluminal pulmonary arterial hydatid cyst prevented possible occurrence of severe complications, such as cyst rupture, anaphylactic shock, and sudden death.

Pulmonary hydatid: Diagnosis and response to hypertonic saline irrigation and albendazole

Background: Pulmonary hydatid is caused by larval stage of parasite Echinococcus granulosus. Although surgery still remains the definitive therapy, various workers have tried albendazole and sterilization of cysts with varying result. Methods: 32 patients(21 males, 11 females) of pulmonary hydatid disease with average age 32.5 years(21–51 years) treated by us between Jan 97 to Apr 2001 were analysed. Diagnosis was established clinically, radiologically and by serological testing. 16 patients who had simple cyst were treated with 20 ml percutaneous hypertonic(20%) saline irrigation of the cyst along with albendazole (400 mg twice a day, 6 cycles of 4 weeks with 2 weeks drug free period between the cycles). 13 patients of complicated cysts were treated with 6 cycles of albendazole. All cases were followed up for one year. 16 patients including three fresh cases were subjected to surgical resection. Results: Pleural involvement was noted in 10 patients. On chest radiography 19 patients had homogenous oval or circular cysts, 6 patients had crescent sign and 10 had water lily sign. After percutaneous hypertonic saline irrigation all patients showed initial regression in size and developed complicated cysts with water lily sign but subsequently there was no regression. Of 13 patients treated with albendazole, 3 patients showed complete resolution and 2 patients showed regression of cyst. All these 5 patients had shown regression during first cycle of albendazole. 16 patients were subjected to surgery (6 after saline irrigation, 7 after albendazole course and 3 fresh cases). No difference was noted in these groups on histopathological examination. Conclusion: From this study it was evident that those patients who demonstrate regression in size during first cycle of albendazole are likely to benefit and improve with further cycles of it. Those who do not respond should be subjected to surgery. Result of percutaneous hypertonicsaline irrigation as scolicidal was not encouraging.

Pseudo food allergy

Hydatid disease is a common zoonosis caused by the larval cysts of Echinococcus granulosus (parasitic tapeworm). In children, lung hydatid cysts are more common than liver cysts, whereas in adults the reverse is true. Pulmonary hydatids can be accompanied by concurrent liver cysts. Leakage or rupture of a hydatid cyst can cause allergic reactions including anaphylaxis. Albendazole is effective therapy either alone or as an adjunct to surgery.