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Unusually located hydatid cysts: intrathoracic but extrapulmonary
F Oğuzkaya1, Y Akçali, C Kahraman
1Department of Thoracic and Cardiovascular Surgery, Erciyes University Medical Faculty, Kayseri, Turkey.
The Annals of Thoracic Surgery
|August 1, 1997
Summary
Extrapulmonary hydatid cysts in the thorax are rare but require specific surgical approaches. This study highlights surgical outcomes for these challenging cases, emphasizing tailored operative planning.
Area of Science:
- Thoracic Surgery
- Parasitology
- Epidemiology
Background:
- Hydatid cyst disease presents a global health challenge, particularly in regions like Turkey.
- Extrapulmonary thoracic hydatid cysts are exceptionally rare, necessitating distinct surgical considerations compared to pulmonary hydatid cysts.
Purpose of the Study:
- To review the surgical management and outcomes of patients with intrathoracic, extrapulmonary hydatid cysts.
- To analyze the distribution and treatment strategies for these rare thoracic localizations.
Main Methods:
- Retrospective review of 22 patients with intrathoracic, extrapulmonary hydatid cysts treated surgically over 14 years.
- Analysis of cyst locations including fissure, pleural cavity, chest wall, mediastinum, myocardium, and diaphragm.
Main Results:
- Total resection was the primary surgical approach in most cases.
- Specific procedures like cystectomy and capitonnage were used for cardiac cysts, and cystectomy with curettage for chest wall cysts.
- A low complication rate (4.5% empyema) and no mortality were observed during the 1-year follow-up.
Conclusions:
- Hydatid cysts can manifest in diverse thoracic locations beyond the lungs.
- Awareness of extrapulmonary thoracic hydatid cyst sites is crucial for effective surgical planning and management.