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[Secondary bronchogenic pulmonary hydatidosis]
T Kilani1, H Horchani, A Daoues
1Service de Chirurgie thoracique, Hôpital A. Mami, l'Ariana, Tunisie.
Annales De Radiologie
|January 1, 1992
Summary
Secondary bronchogenic hydatid disease, a rare complication of lung hydatid cysts, can occur after rupture into the bronchi. Surgical intervention and immunosuppression may predispose patients to this condition, necessitating preventative measures.
Area of Science:
- Medicine
- Pulmonology
- Parasitology
Background:
- Secondary bronchogenic hydatid disease is a rare complication following primary lung hydatid cysts.
- Its occurrence is debated, with some authors refuting its existence.
Purpose of the Study:
- To report cases of secondary bronchogenic hydatid disease.
- To investigate potential predisposing factors and treatment outcomes.
Main Methods:
- Retrospective case series analysis of 7 patients with secondary bronchogenic hydatid disease.
- Review of clinical presentation, treatment, and outcomes.
Main Results:
- Seven cases of secondary bronchogenic hydatid disease were identified, occurring after primary hydatid cyst rupture into the bronchi.
- Dissemination patterns included ipsilateral (5 cases), contralateral (1 case), and bilateral (1 case).
- Five patients underwent radical surgery; two patients with residual cysts are under surveillance.
Conclusions:
- Surgical intervention and general anesthesia may predispose to secondary bronchogenic hydatid disease.
- Inhibition of immune mechanisms could also play a role.
- Prevention is crucial when treating lung hydatid cysts that rupture into the bronchi; surgical treatment is indicated, with potential for spontaneous involution or elimination of secondary cysts via vomica.