RT Journal Article
SR Electronic
T1 Pulmonaryhydatid cysts: Evencommon pathology
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP P2518
VO 44
IS Suppl 58
A1 Othman Neffati
A1 Smadhi Hanène
A1 Fekih Leila
A1 Soussi Ghassen
A1 Greb Dorra
A1 Hassen Hela
A1 Akrout Ines
A1 Benabdelghaffar Hajer
A1 Megdiche Mohamed Lamine
YR 2014
UL http://erj.ersjournals.com/content/44/Suppl_58/P2518.abstract
AB Introduction: Pulmonary hydatid cyst is a parasitic disease caused by contamination of patients by the larval form of Echinococcus granulosus. The lung is the preferential localization after the liver.Material and Methods:A retrospective study of 40 cases of hydatid cysts of the lung treated between 2011 and 2013.Purpose:To establish the epidemiological, clinical and therapeutic findings of hydatid cysts.Results:26men and 14 women were included. The average age was 36 years [13-80 years]. Rural origin was noted in 73% of cases. Hydatid contagion was noted in 80% of cases.A history of hepatic hydatid cyst was found in 10% of cases. The clinical signs were dominated by chest pain (60%of cases), hemoptysis (35%of cases), cough (30%of cases), fever (25%of cases) and hydatid vomica (20% cases). Radiological findings showed: homogeneous round opacity (60% of cases), opacity overcome by gaseous crescent (20%of cases), hydroaeric image (15%of cases), and balloon release (5%of cases). The right sidewas achievedin 50% of cases. The lesions werebilateralin 20% of cases. CT scan performed in 18 cases showed a healthy cyst (50% of cases), a complicated cyst (35%) and rupturedintothe pleura in 10% of cases.Endoscopy done in 8 patients showed hydatid membranes in 40% of cases. Hydatidserology waspositivein80% of cases.Pulmonary hydatid cyst was isolated in 34 cases, associated with a liver cyst in 4 cases and mediastinal hydatid cyst in 2 cases. Surgery was indicated in all patients. Two patients received also medical treatment with albendazole for multiple hydatid disease. The evolution was good.Conclusion:Pulmonary hydatid disease is still common in our climate.Treatment is often surgical. Prevention is essential especially in endemic areas.