Bilateral lung and liver hydatid cysts. Case report

Geraci, Girolamo and Sciuto, Antonio and Lo Nigro, Chiara and Sciumé, Carmelo and Li Volsi, Francesco and Cupido, Francesco and Calbo, E. and Modica, Giuseppe (2012) Bilateral lung and liver hydatid cysts. Case report. Il giornale di chirurgia, 33 (6/7). pp. 229-233. ISSN 1971-145X

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Introduction. Synchronous occurrence of pulmonary and hepatic hydatid cysts is an uncommon manifestation of hydatid disease that is observed in less than 10% of cases. We report a rare case of bilateral lung (with bronchial fistula) and liver cyst, surgically treated after medical therapy. Case report. A 44-year-old housewife reporting fever, anorexia and fatigue that had been present for the previous 20 days received diagnosis of bilateral lung and liver hydatid cyst. Because of the dimensions of right lung cyst and the successive bronchial fistolization, we proceeded to three-stage operation of two thoracotomies and a laparotomy to control the risk of further rupture. After surgery, all post-operatives were uneventful. Complete resolution of the therapy with no evidence of recurrence at 2 years follow-up. Conclusion. We emphasize the need to search for additional hydatids in patients who present with either pulmonary or liver hydatids. The simultaneous treatment of liver and lung should be reserved to patients in good conditions; in all other cases, especially when one cyst is more symptomatic than the others or has more risk of rupture, we prefer to treat single cyst.

Item Type: Article
Uncontrolled Keywords: Hydatid - Cist - Lung - Liver - Bilaterality - Synchronous occurrence - Surgery
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia > 617.4 Chirurgia secondo il Sistema e Regioni
Depositing User: Nadia Del Gobbo
Date Deposited: 03 Aug 2016 10:33
Last Modified: 03 Aug 2016 10:33

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