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Bilateral lung and liver hydatid cysts. Case report
G Geraci1, A Sciuto, C Lo Nigro
1University Hospital of Palermo, Italy.
Il Giornale Di Chirurgia
|September 11, 2012
Summary
Synchronous pulmonary and hepatic hydatid cysts are rare. This case highlights surgical management of bilateral lung and liver hydatid cysts with bronchial fistula, achieving a successful outcome.
Area of Science:
- Medicine
- Parasitology
- Surgery
Background:
- Hydatid disease, caused by Echinococcus granulosus, typically affects the liver or lungs.
- Synchronous pulmonary and hepatic hydatid cysts occur in less than 10% of cases.
- Bronchial fistula is a rare but serious complication of pulmonary hydatid cysts.
Observation:
- A 44-year-old female presented with fever, anorexia, and fatigue.
- Diagnosis revealed bilateral lung and liver hydatid cysts, with the right lung cyst exhibiting bronchial fistulization.
- A three-stage surgical approach involving two thoracotomies and one laparotomy was performed.
Findings:
- The surgical intervention successfully managed the complex hydatid disease.
- Postoperative recovery was uneventful.
- Complete resolution of symptoms and no recurrence were observed at a 2-year follow-up.
Implications:
- Patients with either pulmonary or hepatic hydatid cysts should be screened for additional cysts.
- Simultaneous surgical treatment of multiple hydatid cysts is feasible in select patients.
- A staged surgical approach may be necessary for complex cases with complications like bronchial fistulas.
