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Intrathoracic Extrapulmonary Hydatid Cyst Detected During Surgery: a Case Report

Year 2015, Issue: 3, 177 - 180, 01.09.2015

Abstract

Hydatid disease is one of parasitic diseases that had an ancient history. This disease is most commonly observed in the liver but can occur in all tissues and organs except keratinized tissues. The most involvement of the disease is observed in lung for inthrathoracic cases. The intrathoracic extrapulmonary disease is quite rare. Our case was 24 years old, female and she had hydatid cyst in the pleural cavity that is very rare and was not associated with lung or liver. That was thought that cyst was in the liver before surgery with radiological examination. After laparotomy we have detected the absence of abdominal cyst and found that the cyst was in the pleural cavity. We may be mistaken for the cyst that was associated with liver or lung preoperatively by radiological investigations in such a rare localization of the cyst. In such cases, you need to make a very careful assessment during surgery. It is also very important to determine the appropriate type of surgery

References

  • Hamamcı EO, Besim H, Korkmaz A. Unusual locations of hydatid disease and sugical approach. ANZ J Surg 74:356-60.
  • Gupta RK, Kakar AK, Bhagat R, Pant KC. Phrenomediastinal echinococcosis. Chest 1990;98:1528-30.
  • Oguzkaya F, Akcali Y, Kahraman C, Emirogulları N, Bilgin M, Sahin A. Unusually located hydatid cysts: intrathoracacic but extrapulmonary. Ann Thorac Surg 1997;64:334-7.
  • Ersoy G, Yıldırır C, Sehsuvar G, Ozer T, Tulpar A. Hydatid cyst of diaphragm-a case of hydatid cyst with rare localisation. Mater med Pol 1993;25:109-12.
  • Eroglu A, Kürkcüoglu C, Karaoglanoglu N, Tekinbas C, Kaynar H, Onbas Ö. Primary hydatid cysts of the mediastinum. Eur J Cardiothorac Surg 2002;22:599-601.
  • Eren S, Ulku R, Tanrikulu AC, Eren MN. Primary giant hydatid cyst of the diaphragm. Ann Thorac Cardiovasc Surg 2004;10:118-9.
  • Dhaliwal RS, Kalkat MS. One-stage surgical procedure for bilateral lung and liver hydatid cysts. Ann Thorac Surg 1997;64:338-41.
  • Ozcelik C, Inci I, Toprak M, Eren N, Ozgen G, Yasar T. Surgical treatment of pulmonary hydatidosis in children: experience in 92 patients. J Pediatr Surg 1994;29:392-5.
  • Ozpolat B, Ozeren M, Soyal T, Yücel E. Unusually located intrathoracic extrapulmonary mediastinal hydatid cyst manifesting as Pancoast syndrome. J Thorac Cardiovasc Surg 2005;129:688-9.
  • Nazaroglu H, Balcı A, Bukte Y, Simsek M. Giant intrathoracic extrapulmonary cyst manifested as unilateral pectus carinatum. South Med J 2002; 95:1207-8.
  • Ulkü R, Eren N, Cakir O, Balcı A, Onat S. Extrapulmonary intrathoracic hydatid cycsts. Can J Surg 2004;47:95-8.
  • Karnak I, Ciftci AO, Tanyel FC. Hydatid cyst: an unusual etiology for a cyst lesion of the posterior mediastinum. J Pediatr Surg 1998;33:759-60.
  • Von Siner WN, Lijavi T, Al Watban JA. Mediastinal hydatid disease: report of three cases. Can Assoc Radiol J 1990;41:79-82.
  • Aletras H, Symbas PN. Hydatid disease of the lung. In: Shields TW, LoCicero J, Ponn RB, editors. General thoracic surgery. 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2000.p.1113–22.
  • Burgos R, Varela A, Castedo E et al. Pulmonary hydatidosis: surgical treatment and follow-up of 240 cases. Eur J Cardiothorac Surg 1999;16:628-35.
  • Michael S, Misiakos EP, Dosios T, Manti C, Lambrou P, Skalkeas G. Surgical treatment for lung hydatid disease. World j Surg 1999;23:1181-5.

İntraoperatif Saptanan Ekstrapulmoner İntratorasik Kist Hidatik: Olgu Sunumu

Year 2015, Issue: 3, 177 - 180, 01.09.2015

Abstract

Kist hidatik hastalığı oldukça eski bir geçmişe sahip paraziter hastalıklardan biridir. Hastalık vücutta en sık karaciğere yerleşmek ile birlikte keratinize dokular dışındaki tüm doku ve organlarda görülebilmektedir. İntratorasik vakalarda en sık tutulum akciğerde görülmektedir. İntratorasik ekstrapulmoner yerleşim ise oldukça nadirdir. Sunduğumuz 24 yaşındaki kadın hastada hastalık plevral boşluk gibi oldukça nadir bir lokalizasyona yerleşik olup karaciğer ve akciğer parankimi ile ilişkili değildir. Ancak ameliyat öncesi yapılan tetkiklerde kistin karaciğerde yerleşik olduğu düşünülmüş, laparatomi sonrasında kistin abdomende değil de plevral boşlukta olduğu saptanabilmiştir. Bu tür nadir lokalizasyonlara sahip vakalarda preoperatif görüntüleme yöntemleri ile kistin karaciğer veya akciğer ile ilişkili olduğu yanılgısına düşülebilmektedir. Böyle durumlarda operasyon esnasında tanıya gidebilmek için iyi ve özenli bir değerlendirme yapılması ve cerrahi prosedürün uygun biçimde şekillendirilmesi önem taşımaktadır

References

  • Hamamcı EO, Besim H, Korkmaz A. Unusual locations of hydatid disease and sugical approach. ANZ J Surg 74:356-60.
  • Gupta RK, Kakar AK, Bhagat R, Pant KC. Phrenomediastinal echinococcosis. Chest 1990;98:1528-30.
  • Oguzkaya F, Akcali Y, Kahraman C, Emirogulları N, Bilgin M, Sahin A. Unusually located hydatid cysts: intrathoracacic but extrapulmonary. Ann Thorac Surg 1997;64:334-7.
  • Ersoy G, Yıldırır C, Sehsuvar G, Ozer T, Tulpar A. Hydatid cyst of diaphragm-a case of hydatid cyst with rare localisation. Mater med Pol 1993;25:109-12.
  • Eroglu A, Kürkcüoglu C, Karaoglanoglu N, Tekinbas C, Kaynar H, Onbas Ö. Primary hydatid cysts of the mediastinum. Eur J Cardiothorac Surg 2002;22:599-601.
  • Eren S, Ulku R, Tanrikulu AC, Eren MN. Primary giant hydatid cyst of the diaphragm. Ann Thorac Cardiovasc Surg 2004;10:118-9.
  • Dhaliwal RS, Kalkat MS. One-stage surgical procedure for bilateral lung and liver hydatid cysts. Ann Thorac Surg 1997;64:338-41.
  • Ozcelik C, Inci I, Toprak M, Eren N, Ozgen G, Yasar T. Surgical treatment of pulmonary hydatidosis in children: experience in 92 patients. J Pediatr Surg 1994;29:392-5.
  • Ozpolat B, Ozeren M, Soyal T, Yücel E. Unusually located intrathoracic extrapulmonary mediastinal hydatid cyst manifesting as Pancoast syndrome. J Thorac Cardiovasc Surg 2005;129:688-9.
  • Nazaroglu H, Balcı A, Bukte Y, Simsek M. Giant intrathoracic extrapulmonary cyst manifested as unilateral pectus carinatum. South Med J 2002; 95:1207-8.
  • Ulkü R, Eren N, Cakir O, Balcı A, Onat S. Extrapulmonary intrathoracic hydatid cycsts. Can J Surg 2004;47:95-8.
  • Karnak I, Ciftci AO, Tanyel FC. Hydatid cyst: an unusual etiology for a cyst lesion of the posterior mediastinum. J Pediatr Surg 1998;33:759-60.
  • Von Siner WN, Lijavi T, Al Watban JA. Mediastinal hydatid disease: report of three cases. Can Assoc Radiol J 1990;41:79-82.
  • Aletras H, Symbas PN. Hydatid disease of the lung. In: Shields TW, LoCicero J, Ponn RB, editors. General thoracic surgery. 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2000.p.1113–22.
  • Burgos R, Varela A, Castedo E et al. Pulmonary hydatidosis: surgical treatment and follow-up of 240 cases. Eur J Cardiothorac Surg 1999;16:628-35.
  • Michael S, Misiakos EP, Dosios T, Manti C, Lambrou P, Skalkeas G. Surgical treatment for lung hydatid disease. World j Surg 1999;23:1181-5.
There are 16 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Ramazan Kozan

Hüseyin Göbüt

Bülent Aytaç

Publication Date September 1, 2015
Published in Issue Year 2015Issue: 3

Cite

EndNote Kozan R, Göbüt H, Aytaç B (September 1, 2015) İntraoperatif Saptanan Ekstrapulmoner İntratorasik Kist Hidatik: Olgu Sunumu. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 3 177–180.