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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 Chirurgie
|January 1, 1992
Summary
Secondary bronchogenic hydatid disease is a rare complication following lung hydatid cyst rupture. Surgical intervention and immunosuppression may predispose patients to this condition, necessitating preventative measures.
Area of Science:
- Medicine
- Parasitology
- Pulmonology
Background:
- Secondary bronchogenic hydatid disease is a rare complication of 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 explore its pathogenesis, predisposing factors, and management.
Main Methods:
- Case series reporting 7 patients with secondary bronchogenic hydatid disease.
- Review of clinical presentation, surgical history, and treatment outcomes.
Main Results:
- Five cases occurred after surgical treatment of primary lung hydatid cysts that ruptured into the bronchi.
- One case developed in a patient on corticosteroids for rheumatoid arthritis, without prior surgery.
- Dissemination patterns included ipsilateral (5 cases), contralateral (1 case), and bilateral (1 case).
- Five patients underwent radical surgery; two with extensive dissemination are under surveillance.
Conclusions:
- Surgical procedures and general anesthesia may predispose to secondary bronchogenic hydatid disease.
- Inhibition of immune mechanisms could also contribute to its development.
- Prevention is crucial when managing lung hydatid cysts that rupture into the bronchi.
- Treatment is primarily surgical, with consideration for spontaneous involution or elimination via vomica.