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[The hydatid cyst of the lung in children: 54 cases]
Klzadija Boussetta1, Nadia Siala, Inès Brini
1Service de médecine infantile B de l'hôpital d'enfants de Tunis.
Insights
This study reviewed 54 pediatric lung hydatid cyst cases, finding bronchopulmonary infection and hemoptysis as common symptoms. Surgical intervention was successful in most cases, highlighting the importance of early diagnosis and treatment for hydatid lung disease.
Area of Science:
- Pediatric Pulmonology
- Parasitology
- Radiology
Context:
- Hydatid cyst of the lung (pulmonary echinococcosis) is a significant parasitic infection in children.
- This study focuses on the clinical, radiological, and evolutionary features of this condition in a pediatric population.
Purpose:
- To elucidate the clinical presentation, radiological findings, and outcomes of lung hydatid cysts in children.
- To analyze diagnostic contributions of imaging modalities and surgical results.
Summary:
- A 9-year retrospective analysis of 54 pediatric lung hydatid cyst cases revealed a mean age of 7 years and 3 months.
- Bronchopulmonary infection (72%) and hemoptysis (37%) were the most frequent presenting symptoms, with rural origin noted in 61%.
- Chest radiography and echography demonstrated significant diagnostic utility, with 74% of surgically treated children experiencing successful outcomes.
Impact:
- Provides insights into the epidemiology and clinical spectrum of pediatric lung hydatidosis.
- Emphasizes the role of imaging in diagnosing lung hydatid cysts.
- Contributes to understanding surgical outcomes and management strategies for this parasitic lung disease.
Abstract:
The purpose of this retrospective study is to clarify the clinical, radiological and evolutionary aspects of the hydatid cyst of the lung. Over a period of 9 years (January, 1983 - December, 2001), we brought together in the pediatric service B of Children's hospital of Tunis, 54 cases of hydatid cyst of the lung. The average age is of 7 years 3 months (extremes 2 and 14 years), and the sex- ratio of 1,16. 61% of the children are of rural origin. Bronchpulmonary infection is the most frequent circumstance of discovery (72 % of cases). hemoptysis is revealing in 37% of cases. Discovery is fortuitous in 7% of cases. The radiography of the chest is of a big diagnostic contribution. The radiological aspects obtained are: a homogeneous opaqueness (61%), a diverse opaqueness (26%), an image of lung abscess (22 %), an aspect of floating membrane (4 %), a pleural effusion (9%), and an opaqueness with growing gas (4%). Chest echography was contributory in 77% of cases. 74% of the children were operated without complications. The others were lost.
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