Title: Secondary Pleural Hydatosis - A Case Report
Authors:Dr Pravin G U, Dr Manjur Ansari, Dr Gautam M, Dr Parthasarathi A
DOI: http://dx.doi.org/10.18535/jmscr/v4i2.52
Liver hydatid causing rupture of diaphragm and secondary pleural hydatosisis a rare entity. The present article reports a case of a 61-year-old man who underwent right thoracotomy for the removal hydatid cysts, the liver hydatid cyst had caused rupture of the right hemidiaphragm causing secondary pleural hydatosis. He was suffering from cough and dyspnoea since two weeks. Chest radiograph revealed an opaque right hemithorax with signs of volume loss and compensatory hyperinflation of the left lung for which an intercostal tube was put; multiple cysts were found draining through the tube. Ultrasonography was done to confirm which revealed multiple cysts located in the posterior right hemithorax and liver. Keywords: Hydatid Cyst, Trans Dyaphragmatic Spread, Echinococcus Granulosus. 1. King CH. Cestodes (tapeworms). In: Mandell GL, Bennett JE, Dolin R, Eds. Principles and Practice of Infectious Diseases. 4th Ed. New York. Churchill Livingstone Inc.;1995, pp. 2544-2552. 2. Aguilar X, Fernandez-Muixi J, Magarolas R, et al. An unusual presentation of secondary pleural hydatidosis.EurRespir J 1998;11:243-5. 3. RAKOWER, J., and MILWIDSKY, H. Primary mediastinalechinococcosis. Am. 7. Med., 1960, 29, 73-83. 22. 4. RAKOWER, J., and MILWIDSKY, H. Hydatid pleural disease. Am. Rev. Resp. Dis., 1964, 90,623-631. 5. BORRIE, J. Fifty thoracic hydatid cysts. Bnit. 7. Surg., 1962,50, 268-283. 6. 6) AIANA, J. A. Thoracic hydatid echinococcosis: diagnosis and treatment. Dis. Chest, 1966, 49, 8-14. 7. Merkle AM, Schulte M, Vogel J, et al. Musculoskeletal involvement in cystic echinococcosis: report of eight cases and review of the literature. AJR Am J Roentgenol. 1997;168:1531–4. 3. 8. Gómez R, Moreno E, Loinaz C, et al. Diaphragmatic or transdiaphragmatic thoracic involvement in hepatic hydatid disease: surgical trends and classification. World J Surg 1995; 19:714-719. 9. Marti-Bonmati L, Menor Serrano F. Complications of hepatic hydatid cysts: ultrasound, computed tomography, and magnetic resonance diagnosis. GastrointestRadiol 1990; 15:119-125. 10. Bezzi M, Teggi A, De Rosa F, et al. Abdominal hydatid disease: US findings during medical treatment. Radiology 1987; 162:91-95. 11. Lewall DB, McCorkell SJ. Rupture of echinococcal cysts: diagnosis, classification, and clinical implications. AJR Am J Roentgenol1986; 146:391-394. 12. Gómez R, Moreno E, Loinaz C, et al. Diaphragmatic or transdiaphragmatic thoracic involvement in hepatic hydatid disease: surgical trends and classify-cation. World J Surg 1995; 19:714-719. 13. Moguillanski SJ, Gimenez CR, Villavicencio RL. Radiología de la hidatidosis abdominal. In: Stoopen ME, Kimura K, Ros PR, eds.Radiología e imagendiagnóstica y terapeútica: abdomen. Vol 2. Philadelphia, Pa: Lippin-cott Williams & Wilkins, 1999; 47-72.Abstract
References