The clinical finding, diagnosis and outcome of patients with complicated lung hydatid cysts
Journal Title: International Journal of Medical Research & Health Sciences (IJMRHS) - Year 2016, Vol 5, Issue 8
Abstract
Rupture of a hydatid cyst may cause some unique problems in children and adult .The clinical presentation and the preoperative diagnosis and postoperative complications depend on whether the cyst is intact or ruptured. The aim of this study was to review the problems of the ruptured pulmonary hydatid cysts. Between 1996 and 2009, 58 patients with a total of 74 ruptured lung hydatid cysts were operated. The medical records for 58 patients of pulmonary hydatidosis were retrospectively investigated. Data related to symptoms, preoperative diagnosis and complications, surgical procedures, postoperative morbidity, hospitalization time, and cyst recurrence were collected. 42 patients (72.41%) were male. the median age of patients was 32 years (range, 4 to 69 years). Clinical symptoms were as follow: Productive cough in 47 patients (81%), Dyspnea in 42 patients (72.41%), chest pain in 31 patients (53.44%) and hemoptysis in 13 patients (22.41%). Assessment of clinical findings, chest roentgenograms, thoracic computed tomography, led to the correct preoperative diagnosis of pulmonary hydatid disease in 52 patients (89.65%). Right lower lobe was the most common location of cyst in the lungs (63%). In 42 cases (72.41%) rupture of cyst occurred into tracheobronchial tree and in 10 patients (17.24%) rupture of cyst occurred into pleural space. recurrent pneumonia occurred in 6 patients (10.34%). Postoperative complication was occurred in 20 patients (34.48%). Reoperation performed for bronchopleural fistula in 2 patients and bilo-pleural fistula in 1 patient. Recurrence occurred in 1 patient which treated with albendazol. Hospital mortality was not occurred. Surgery is the primary mode of treatment for patients with pulmonary hydatid disease. Complicated cases have higher rates of preoperative and postoperative complications and require longer hospitalization time and more extensive surgical procedures. Immediate treatment should be performed in any patient who is diagnosed with pulmonary hydatid cysts.
Authors and Affiliations
Mohammad Reza Asgary| Respiratory Diseases & TB Research Center of Guilan University Medical Science (GUMS) - Razi Hospital- Rasht- Iran Corresponding Email: tsasgary85@yahoo.com, Manouchehr Aghajanzadeh| Respiratory Diseases & TB Research Center of Guilan University Medical Science (GUMS) - Razi Hospital- Rasht- Iran, Hosein Hemmati| Respiratory Diseases & TB Research Center of Guilan University Medical Science (GUMS) - Razi Hospital- Rasht- Iran, F. Safarpoor| Respiratory Diseases & TB Research Center of Guilan University Medical Science (GUMS) - Razi Hospital- Rasht- Iran, Ali Alavi| Respiratory Diseases & TB Research Center of Guilan University Medical Science (GUMS) - Razi Hospital- Rasht- Iran, Hosein Amani| Respiratory Diseases & TB Research Center of Guilan University Medical Science (GUMS) - Razi Hospital- Rasht- Iran
A HUGE CERVICAL FIBROID CAUSING UTEROVAGINAL PROLAPSE – AN UNUSUAL PRESENTATION, DIAGNOSTIC DILEMMA AND AN OPERATIVE CHALLENGE
We report a rare case of a 35 yr Indian woman presenting with a mass per vagina since 2yrs and acute urinary retention since one day secondary to prolapsed cervical fibroid (15x8cm) which was mimicking chronic inversion...
Effect of the peer supportive program on blood pressure changes in patients affected with hypertension: A randomized controlled trial
Hypertension is the biggest risk factor of death worldwide. The peer supportive program is one of low-cost programs which can be used to enhance patient information in chronic diseases. The aim of this study is to dete...
AN AUDIT OF INDICATIONS AND COMPLICATIONS ASSOCIATED WITH ELECTIVE HYSTERECTOMY AT SVMCH AND RC, ARIYUR, PONDICHERRY
Background: Hysterectomy is the most common gynaecological surgery performed worldwide Menorrhagia secondary to uterine fibroids and abnormal menstrual bleeding are the two most common indications for hysterectomy. An...
Comparison Nokia, Samsung and Sony mobile phones in the specific absorption rate of head induced to electric field
The use of mobile phones has expanded in recent decades. Despite the extensive studies in this field, less attention has been paid to the biological effects of electromagnetic fields emitted by the mobile phones. Theref...
STUDENT EVALUATION OF AN OSCE IN GENERAL MEDICINE AT MAMATA MEDICAL COLLEGE, ANDHRA PRADESH
The assessment of student’s clinical competence is of paramount importance, and there are several means of evaluating student performance in medical examinations. The OSCE is an approach to student assessment in...