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[Pulmonary hydatid cyst presenting as dysphonia]
M Bouchikh1, Y Ouadnouni, Y Msougar
1Service de Chirurgie Thoracique, CHU Ibn Sina, Rabat. bouchikh_mohammed@yahoo.fr
Revue Des Maladies Respiratoires
|October 11, 2007
Summary
A rare case of lung hydatid cyst causing recurrent laryngeal nerve compression and dysphonia is presented. Surgical removal of the cyst resolved symptoms, highlighting this unusual presentation of mediastinal compression.
Area of Science:
- Pulmonology
- Thoracic Surgery
- Parasitology
Background:
- Recurrent laryngeal nerve (RLN) compression, leading to dysphonia, is typically caused by malignant tumors.
- Intrapulmonary hydatid cysts are an uncommon etiology for RLN compression.
Observation:
- A 56-year-old male presented with cough, dyspnea, and progressive dysphonia.
- Imaging revealed a cystic mass in the left upper lobe near the aortic arch.
- Surgical exploration identified the mass as a hydatid cyst of the lung.
Findings:
- Histological examination confirmed the diagnosis of a hydatid cyst.
- Surgical cystectomy was performed.
- Post-operative recovery was satisfactory, with symptom relief and improved phonation.
Implications:
- This case underscores that hydatid cysts of the lung can present with symptoms of mediastinal compression.
- It broadens the differential diagnosis for dysphonia in patients with lung masses.
- Highlights the importance of considering parasitic infections in thoracic pathology.
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