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Successful Management of a Huge Pulmonary Hydatid Cyst in a Young Child: A Case Report
Manel Kammoun1, Saloua Ammar2, Hela Fendri3
1Pediatric Anesthesia Department at Hedi Chaker University Hospital, Sfax, Tunisia.
Insights
A rare case of a giant pulmonary hydatid cyst in a child is presented. This parasitic infection required emergent surgery for a favorable outcome, highlighting the importance of timely diagnosis in endemic regions.
Area of Science:
- Parasitology
- Pediatric Surgery
- Radiology
Background:
- Hydatid cyst disease, caused by Echinococcus granulosus, is endemic in North Africa.
- Pulmonary hydatid cysts can present with respiratory symptoms.
Abstract:
Hydatid cyst disease is a parasitic disease induced by Echinococcus granulosus, which is still endemic in northern African countries. We report the case of a late-discovered pulmonary hydatid cyst in a four-year-old boy revealed by recent dyspnoea. The chest X-ray showed a complete white-out of the left hemithorax with mediastinal deviation, and the thoracoabdominal CT scan showed a giant pulmonary hydatid cyst encompassing the entire left lung associated with a hepatic cyst. An emergent superior pulmonary lobe resection was performed under deep general anaesthesia and selective intubation to prevent contralateral lung inundation. The evolution was favourable postoperatively.
