Caspian Journal of Internal Medicine
1
Caspian J Intern Med
Medical Sciences
http://caspjim.com
1
admin
2008-6164
2008-6172
8
10.22088/cjim
14
8888
13
en
jalali
1400
10
1
gregorian
2022
1
1
13
1
online
1
fulltext
en
Evaluation of clinical status, diagnosis, treatment and radiological findings of pulmonary hydatid cyst: 5-years' experience at tertiary lung center
Infectious Diseases
Infectious Diseases
Original Article
Original Article
<span style="font-size:14px;"><span style="font-family:Times New Roman;"><span style="color:#0000ff;"><strong><em>Background</em></strong><em>:</em></span> Hydatidosis is one of the most critical worldwide parasitic zoonotic diseases. The lung is the second most common site of hydatidosis. This study aimed to evaluate the clinical status, diagnosis, treatment, and radiological findings of pulmonary hydatid cyst in patients referred to tertiary lung center.<br>
<span style="color:#0000ff;"><strong><em>Methods</em></strong><em>:</em></span> From April 2014 to July 2019, patients referred to Masih Daneshvari University Medical Center with the impression of alveolar hydatidosis included. Demographic data of 304 patients were collected including clinical symptoms, laboratory studies, radiological findings, location of the lung involvement, and cyst characteristics. Also, surgical procedures, medical treatments, and post-operative complications were recorded.<br>
<span style="color:#0000ff;"><strong><em>Results</em></strong><em>:</em></span> Pulmonary hydatidosis was confirmed for 234 patients. 55% of patients were males with the mean age of 45.1±16.6 years. The most common symptoms were cough (59.8%), dyspnea (31.1%), and hemoptysis (26%). Left lung, right lung, and bilateral involvement were reported in 40.1%, 55.1%, and 4.8% of cases, respectively. Cyst perforation (39.8%) was the most common intra-operative finding. Surgical interventions included thoracotomy, rigid bronchoscopy, cyst aspiration, and enucleation. The liver was the most concomitant organ involved due to pulmonary hydatidosis (16.6%). The most common postoperative complication was atelectasis, with the rate of 35.7%. 52.2% of patients were discharged within 10 days after surgery. No mortality was reported.<br>
<span style="color:#0000ff;"><strong><em>Conclusion</em></strong><em>:</em></span> Sometimes atypical findings in different imaging modalities make the hydatid cyst diagnosis challenging. Although lobe involvement more than 50% has the indication for lobectomy, we conserved lobes with about 70% involvement in our institution, and patients had no postoperative complications.</span></span>
Pulmonary hydatid cyst, Radiological findings, Treatment, Thoracic surgery
44
50
http://caspjim.com/browse.php?a_code=A-10-911-7&slc_lang=en&sid=1
Kambiz
Sheikhy
ksheikhy@gmail.com
100319475328460033301
100319475328460033301
No
Lung transplant research center (LTRC), National research institute of tuberculosis and lung disease (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
Ramin
Rouhani
raminrouhani332@yahoo.com
100319475328460033302
100319475328460033302
Yes
Department of General Surgery, Mazandaran University of Medical Sciences, Sari, Iran
Saviz
Pejhan
spejhan@yahoo.com
100319475328460033303
100319475328460033303
No
Lung transplant research center (LTRC), National research institute of tuberculosis and lung disease (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
Alireza
Sanei Motlagh
alireza.scts@yaho.com
100319475328460033304
100319475328460033304
No
Mazandaran University of Medical Sciences, Sari, Iran
Ali
Sheikhy
a-sheikhy@student.tums.ac.ir
100319475328460033305
100319475328460033305
No
Tehran University of Medical Sciences, Tehran, Iran