PT  - JOURNAL ARTICLE
AU  - Imen Bouassida
AU  - Rime Essid
AU  - Amina Abdelkbir
AU  - Hazem Zribi
AU  - Habib Bessrour
AU  - Mariem Affes
AU  - Sonia Ouergui
AU  - Sarra Zairi
AU  - Adel Marghli
TI  - Secondary bronchogenic pulmonary hydatidosis: a rare entity
AID  - 10.1183/13993003.congress-2021.PA3413
DP  - 2021 Sep 05
TA  - European Respiratory Journal
PG  - PA3413
VI  - 58
IP  - suppl 65
4099  - http://erj.ersjournals.com/content/58/suppl_65/PA3413.short
4100  - http://erj.ersjournals.com/content/58/suppl_65/PA3413.full
SO  - Eur Respir J2021 Sep 05; 58
AB  - Introduction: Hydatid disease is a world wide health problem. Secondary beonchogenic hydatidosis (SBH) is a rare complication of primary hydatid cyst of the lung. It consists on the seeding of the bronchial tree by the content of non suppurative hydatid cyst from the homo or contralateral lung, ruptured spontaneously or after surgical treatment. The development of cysts occurs on along the bronchial axes, in a systematized pulmonary territory.Methods: Descriptive retrospective study of bronchogenic hydatidosis operated in our surgical department from 1999 to 2020Results: During the study period, 12 patients were operated for SBH. There were 6 male and 6 female. The average age was 37years. Seven patients had a history of complicated hydatid cyst operated on. Symptomatology was made of cough with haemoptoic sputum in 9 cases, fever with chest pain in one case. The SBH was discovered during the follow up radiological assessment after the first surgery in 2 cases. Bronchoscopy was done for 9 patients, and showed the presence of whitish formation in subsegmental bronchus in 5 cases. All patients had a chest CT scan reveling the development of cysts in systematized lung territory. The cysts were localised in the right lung in 7 cases, and in the left lung in 5 cases. Four patients had antihelmintic therapy before surgery. All patients were operated on by a posterolateral thoracotomy. The gesture consisted on 5 lobectomy, 3 segmentectomy and 4 cystectomy. All patients were treated postoperatively by 3 months course with Albendazole.conclusion: SBH is a rare complication of lung hidatid cyst. Surgery remains the only effective treatment consisting on regulated resection if the number of cysts is important, and cystectomy if the number is limited.FootnotesCite this article as: European Respiratory Journal 2021; 58: Suppl. 65, PA3413.This abstract was presented at the 2021 ERS International Congress, in session “Prediction of exacerbations in patients with COPD”.This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).