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Hepatopulmonary hydatidosis in a ten-year-old girl: a case report.

Anyfantakis D, Blevrakis E, Vlachakis I, Arbiros I - J Med Case Rep (2010)

Bottom Line: Chest radiography revealed a large homogenous circular opacity in the right lung field.Therefore, the presence of any homogeneous cystic spherical opacity on routine chest radiography should raise the suspicion of hydatid disease, mainly in endemic areas such as Greece.General practitioners and physicians involved in pediatric care need to be familiar with the diagnosis and management of the variable clinical manifestations of hydatid disease.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Pediatric Surgery, University General Hospital of Heraklion, Crete, Greece. danyfantakis@med.uoc.gr.

ABSTRACT

Introduction: Hydatid disease is a parasitic infection caused by the tapeworm Echinococcus granulosus and is characterised by cystic lesions in the liver and lungs. Concomitant pulmonary and hepatic localization of hydatid cysts in childhood is unusual and represents a distinct clinical entity called hepatopulmonary hydatidosis.

Case presentation: A ten-year-old Caucasian girl, a permanent resident of rural Greece, was admitted to hospital reporting a nonspecific symptomatology compatible with a diagnosis of viral infection. Chest radiography revealed a large homogenous circular opacity in the right lung field. On the basis of imaging studies, a diagnosis of hydatidosis was made with synchronous hepatic and pulmonary involvement, successfully managed through a single-stage transthoracic surgical approach.

Conclusion: This case report highlights the necessity of realizing that hydatid disease continues to be a public health problem, which often remains asymptomatic for years. Therefore, the presence of any homogeneous cystic spherical opacity on routine chest radiography should raise the suspicion of hydatid disease, mainly in endemic areas such as Greece. General practitioners and physicians involved in pediatric care need to be familiar with the diagnosis and management of the variable clinical manifestations of hydatid disease. Taking into consideration that hepatopulmonary hydatidosis represents a special entity that requires a different therapeutic approach may positively affect its economic and social-related burden.

No MeSH data available.


Related in: MedlinePlus

Computed tomography thoracic scan reveals the presence of a large cystic lesion in the right lower lobe.
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Figure 2: Computed tomography thoracic scan reveals the presence of a large cystic lesion in the right lower lobe.

Mentions: On chest radiography, a 9.0 × 8.2 cm circular lesion was visualized in the right lower lobe (Figure 1). A computed tomography (CT) thoracic scan revealed a cystic fluid-filled mass, 9.0 cm in diameter, on the inferior lobe of the right lung (Figure 2). The girl's history of living in proximity to dogs and farm animals was suggestive of infection with E. granulosus. The eventuality of liver involvement was investigated; a CT abdominal scan examination revealed the presence of a hypodense cystic lesion of 7.9 × 7.2 cm in the left lobe of the liver (Figure 3). Serologic test results for echinococcus by means of an enzyme-linked immunosorbent assay and an indirect haemagglutination test were positive.


Hepatopulmonary hydatidosis in a ten-year-old girl: a case report.

Anyfantakis D, Blevrakis E, Vlachakis I, Arbiros I - J Med Case Rep (2010)

Computed tomography thoracic scan reveals the presence of a large cystic lesion in the right lower lobe.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2909991&req=5

Figure 2: Computed tomography thoracic scan reveals the presence of a large cystic lesion in the right lower lobe.
Mentions: On chest radiography, a 9.0 × 8.2 cm circular lesion was visualized in the right lower lobe (Figure 1). A computed tomography (CT) thoracic scan revealed a cystic fluid-filled mass, 9.0 cm in diameter, on the inferior lobe of the right lung (Figure 2). The girl's history of living in proximity to dogs and farm animals was suggestive of infection with E. granulosus. The eventuality of liver involvement was investigated; a CT abdominal scan examination revealed the presence of a hypodense cystic lesion of 7.9 × 7.2 cm in the left lobe of the liver (Figure 3). Serologic test results for echinococcus by means of an enzyme-linked immunosorbent assay and an indirect haemagglutination test were positive.

Bottom Line: Chest radiography revealed a large homogenous circular opacity in the right lung field.Therefore, the presence of any homogeneous cystic spherical opacity on routine chest radiography should raise the suspicion of hydatid disease, mainly in endemic areas such as Greece.General practitioners and physicians involved in pediatric care need to be familiar with the diagnosis and management of the variable clinical manifestations of hydatid disease.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Pediatric Surgery, University General Hospital of Heraklion, Crete, Greece. danyfantakis@med.uoc.gr.

ABSTRACT

Introduction: Hydatid disease is a parasitic infection caused by the tapeworm Echinococcus granulosus and is characterised by cystic lesions in the liver and lungs. Concomitant pulmonary and hepatic localization of hydatid cysts in childhood is unusual and represents a distinct clinical entity called hepatopulmonary hydatidosis.

Case presentation: A ten-year-old Caucasian girl, a permanent resident of rural Greece, was admitted to hospital reporting a nonspecific symptomatology compatible with a diagnosis of viral infection. Chest radiography revealed a large homogenous circular opacity in the right lung field. On the basis of imaging studies, a diagnosis of hydatidosis was made with synchronous hepatic and pulmonary involvement, successfully managed through a single-stage transthoracic surgical approach.

Conclusion: This case report highlights the necessity of realizing that hydatid disease continues to be a public health problem, which often remains asymptomatic for years. Therefore, the presence of any homogeneous cystic spherical opacity on routine chest radiography should raise the suspicion of hydatid disease, mainly in endemic areas such as Greece. General practitioners and physicians involved in pediatric care need to be familiar with the diagnosis and management of the variable clinical manifestations of hydatid disease. Taking into consideration that hepatopulmonary hydatidosis represents a special entity that requires a different therapeutic approach may positively affect its economic and social-related burden.

No MeSH data available.


Related in: MedlinePlus