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Giant Pulmonary Hydatid Cyst and Trauma in a 9 Year-Old Child: A Case Report

Mohsen Sokouti1, Behrooz Shokouhi2, Massoud Sokouti3

  • 1Department of Cardiothoracic Surgery, Imam Reza Hospital, Tabriz University of Medical Sciences, Tabriz, Iran.

The Open Respiratory Medicine Journal
|June 20, 2015
PubMed

Insights

Giant lung hydatid cysts can be misdiagnosed as pleural effusion, especially in endemic regions. Surgical intervention is crucial, and aspiration should be avoided due to risks of anaphylaxis and spread.

Area of Science:

  • Medicine
  • Parasitology
  • Thoracic Surgery

Background:

  • Hydatid cysts are parasitic infections caused by Echinococcus tapeworms.
  • Giant lung hydatid cysts are rare but can present with significant mass effect.

Purpose of the Study:

  • To report a case of a giant lung hydatid cyst in a pediatric patient.
  • To highlight diagnostic challenges and emphasize appropriate management strategies.

Main Methods:

  • Case presentation of a 9-year-old boy with a giant lung hydatid cyst.
  • Diagnostic imaging including Chest X-ray and Computed Tomography (CT).
  • Surgical management via right-thoracotomy with cyst evacuation and lobectomy.

Main Results:

  • A giant hydatid cyst (30x22x20cm) completely filled the right hemithorax.
  • Initial Chest X-ray misdiagnosed the cyst as massive pleural effusion.
  • Pathologic examination confirmed the hydatid cyst post-surgery.

Conclusions:

  • Giant lung hydatid cysts may be misdiagnosed as pleural effusion in endemic areas.
  • Aspiration of hydatid cysts carries risks of allergic reactions, anaphylactic shock, and dissemination.
  • Prompt surgical intervention is recommended for giant lung hydatid cysts.

Keywords:
Childrengianthydatid cystlungpleural effusion

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