Pleural hydatidosis secondary to intrapulmonary echinococcosis: a case report

Branko Čampar; Blagoje Babić; Mihailo Vukmirović

doi:10.2298/VSP251103024C

Branko Čampar Clinical Center of Montenegro, *Department of Thoracic Surgery, Podgorica, Montenegro
Blagoje Babić Clinical Center of Montenegro, Cardiology Department, Podgorica, Montenegro; ‡University of Montenegro, Faculty of Medicine, Podgorica, Montenegro
Mihailo Vukmirović Clinical Center of Montenegro, Cardiology Department, Podgorica, Montenegro; ‡University of Montenegro, Faculty of Medicine, Podgorica, Montenegro

DOI: https://doi.org/10.2298/VSP251103024C

Ključne reči: albendazol;, dijagnoza;, ehinokokoza;, crna gora;, pleura;, tomografija, kompjuterizovana, rendgenska.

Sažetak

Uvod. Hidatidne ciste se najčešće nalaze u jetri i plućima, dok su druga mesta retko zastupljena. Pleuralna hidatidoza, bilo primarna ili sekundarna, retko se viđa u kliničkoj praksi. Prikaz bolesnika. U ovom radu prikazana je bolesnica stara 33 godine, koja se javila na pregled zbog kašlja i otežanog disanja. Prvi rendgenski snimak grudnog koša pokazao je veliki pleuralni izliv sa desne strane. Na pleuralnu hidatidozu posumnjalo se na osnovu nalaza kompjuterizovane tomografije grudnog koša. Na desnoj strani grudnog koša izvršene su torakotomija i cistektomija. Albendazol je primenjivan postoperativno tokom šest meseci, a tokom tog perioda testovima za ispitivanje funkcije jetre i ultrazvukom abdomena nisu utvrđene abnormalnosti. Zaključak. Ovaj slučaj naglašava da na pleuralnu hidatidozu treba posumnjati kod bolesnika sa pleuralnim izlivima i velikim cističnim formacijama uočenim na radiološkim snimcima, naročito u endemskim područjima.

Reference

Mardani P, Karami MY, Jamshidi K, Zadebagheri N, Niakan H. A Primary Pleural Hydatid Cyst in an Unusual Location. Tanaf-fos 2017; 16(2): 166–9.

Savu C, Melinte A, Grigorie V, Iliescu L, Diaconu C, Dimitriu M, et al. Primary Pleural Hydatidosis-A Rare Occurrence: A Case Report and Literature Review. Medicina (Kaunas) 2020; 56(11): 567. DOI: 10.3390/medicina56110567.

Morar R, Feldman C. Pulmonary echinococcosis. Eur Respir J 2003; 21(6): 1069–77. DOI:10.1183/09031936.03.00108403.

Zeybek A, Erdoğan A, Akdeniz S, Kenar G, Dertsiz L, Demircan A. Atypical giant hydatid cyst at the thoracic wall causing bone and soft tissue destruction: Report of a case. Iranian Red Crescent Med J 2013; 15(6): 529–31. DOI:10.5812/ircmj.10584.

Erkoç MF, Öztoprak B, Alkan S, Okur A. A rare cause of pleu-ral effusion: ruptured primary pleural hydatid cyst. BMJ Case Rep 2014; 2014: bcr2013202959. DOI: 10.1136/bcr-2013-202959.

Aribas OK, Kanat F, Gormus N, Turk E. Pleural complications of hydatid disease. J Thorac Cardiovasc Surg 2002; 123(3): 492–7. DOI:10.1067/mtc.2002.119341.

Aguilar X, Fernández-Muixí J, Magarolas R, Saurí A, Vidal F, Richart C. An unusual presentation of secondary pleural hyda-tidosis. Eur Respir J 1998; 11(1): 243–5. DOI:10.1183/09031936.98.11010243.

Karimi M, Rostami A, Spotin A, Rouhani S. Ruptured pulmo-nary hydatid cyst: a case report. J Parasit Dis 2017; 41(3): 899–902. DOI:10.1007/s12639-017-0880-z.

Yalçinkaya I, Er M, Ozbay B, Uğraş S. Surgical treatment of hydatid cyst of the lung: Review of 30 cases. Eur Respir J 1999; 13(2): 441–4. DOI:10.1183/09031936.99.13244199.

Feki W, Ketata W, Bahloul N, Msaad S, Kammoun S. Secondary pleural hydatidosis: Complication of intrapulmonary echino-coccosis. Lung India 2014; 31(3): 270–3. DOI:10.4103/0970-2113.135775.

Barrett NR. The anatomy and the pathology of multiple hyda-tid cysts in the thorax. Ann R Coll Surg Engl 1960; 26(6): 362–79.

Sayir F, Cobanoglu U, Sehitogullari A. Surgical treatment of pulmonary hydatid cysts, which perforated to the pleura. Eur-asian J Med 2012; 44(2): 79–83. DOI:10.5152/eajm.2012.19.

Gursoy S, Ucvet A, Tozum H, Erbaycu AE, Kul C, Basok O. Pri-mary intrathoracic extrapulmonary hydatid cysts: analysis of 14 patients with a rare clinical entity. Tex Heart Inst J 2009; 36(3): 230–3.

Coluzzi F, Meniconi RL, Caruso D, Rivosecchi F, Petrone L, Goletti D, et al. Severe chest allodynia as an unusual first presentation of hydatid disease: a case report. BMC Infect Dis 2019; 19(1): 37. DOI: 10.1186/s12879-019-3670-7.

Moro P, Schantz PM. Echinococcosis: a review. Int J Infect Dis 2009; 13(2): 125–33. DOI: 10.1016/j.ijid.2008.03.037.

Neumayr A, Troia G, de Bernardis C, Tamarozzi F, Goblirsch S, Piccoli L, et al. Justified concern or exaggerated fear: the risk of anaphylaxis in percutaneous treatment of cystic echinococ-cosis—a systematic literature review. PLoS Negl Trop Dis 2011; 5(6): e1154. DOI:10.1371/journal.pntd.0001154.

Akhan O, Ozmen MN, Dinçer, Göçmen A, Kalyoncu F. Percuta-neous treatment of pulmonary hydatid cysts. Cardiovasc In-tervent Radiol 1994; 17(5): 271–5. DOI:10.1007/BF00192450.

Pleuralna hidatidoza kao posledica intrapulmonalne ehinokokoze

Sažetak

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