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Single-stage management of large pulmonary and hepatic hydatid cysts in pediatric age group: Report of two cases.

Goyal VD, Sood S, Rana S, Pahwa S - Lung India (2014)

Bottom Line: The clinical features in both were breathlessness on exertion, pain abdomen, and abdominal distension.Although the liver cysts were of larger size and occupying most of the right lobe of the liver and part of the left lobe, liver function tests were normal.Both patients recovered well, although the second patient required abdominal drain for a long period of 1 month for bile leakage which decreased gradually and eventually stopped.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiothoracic and Vascular Surgery, Dr. Rajendra Prasad Government Medical College, Kangra, Tanda, Himachal Pradesh, India.

ABSTRACT
Two patients presented to us with very similar clinical and radiological presentation of huge hydatid cysts in the lung and liver. The first patient was an 11-year-old female child and the second one was a 9-year-old male child. The clinical features in both were breathlessness on exertion, pain abdomen, and abdominal distension. Chest Roentgenogram along with computed tomogram of the chest and abdomen revealed presence of thin-walled homogenous large cysts, one in the right lung and two in the liver, in both the cases. Although the liver cysts were of larger size and occupying most of the right lobe of the liver and part of the left lobe, liver function tests were normal. All three cysts were enucleated in the same sitting by a combined thoracic and abdominal approach (thoracotomy followed by laparotomy). After enucleation of the cyst, capitonnage of the cavity in the lung was done and the liver cavities were filled with omentum to prevent collection of fluid and abscess formation. Both patients recovered well, although the second patient required abdominal drain for a long period of 1 month for bile leakage which decreased gradually and eventually stopped.

No MeSH data available.


Related in: MedlinePlus

(a) Chest roentgenogram showing hydatid cyst occupying most of the right thoracic cavity. (b) Computed tomogram chest and abdomen (sagittal section) showing huge hydatid cyst in the right lung and the liver. (c) Computed tomogram chest and abdomen (coronal section) showing huge hydatid cyst in the right lung and the liver. (d) Intraoperative photograph showing gross appearance of the hydatid cyst coming out of the right lung with gentle positive pressure ventilation
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Figure 2: (a) Chest roentgenogram showing hydatid cyst occupying most of the right thoracic cavity. (b) Computed tomogram chest and abdomen (sagittal section) showing huge hydatid cyst in the right lung and the liver. (c) Computed tomogram chest and abdomen (coronal section) showing huge hydatid cyst in the right lung and the liver. (d) Intraoperative photograph showing gross appearance of the hydatid cyst coming out of the right lung with gentle positive pressure ventilation

Mentions: In the second case, the cyst in the lung was occupying most of the right thoracic cavity, as seen on chest roentgenogram [Figure 2a] and computed tomogram [Figure 2b and c], and it was enucleated through anterolateral thoracotomy in the fifth intercostal space [Figure 2d] followed by right subcostal incision for the liver cysts. In the postoperative period, there was no air leak in the chest tubes. The chest tubes were removed on the fourth postoperative day after confirmation of the lung expansion on the chest roentgenogram. In the first case, the abdominal drains were removed after 1 week, although the second patient required abdominal drain for a longer period of 1 month for bile leakage which decreased gradually and eventually stopped.


Single-stage management of large pulmonary and hepatic hydatid cysts in pediatric age group: Report of two cases.

Goyal VD, Sood S, Rana S, Pahwa S - Lung India (2014)

(a) Chest roentgenogram showing hydatid cyst occupying most of the right thoracic cavity. (b) Computed tomogram chest and abdomen (sagittal section) showing huge hydatid cyst in the right lung and the liver. (c) Computed tomogram chest and abdomen (coronal section) showing huge hydatid cyst in the right lung and the liver. (d) Intraoperative photograph showing gross appearance of the hydatid cyst coming out of the right lung with gentle positive pressure ventilation
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4129601&req=5

Figure 2: (a) Chest roentgenogram showing hydatid cyst occupying most of the right thoracic cavity. (b) Computed tomogram chest and abdomen (sagittal section) showing huge hydatid cyst in the right lung and the liver. (c) Computed tomogram chest and abdomen (coronal section) showing huge hydatid cyst in the right lung and the liver. (d) Intraoperative photograph showing gross appearance of the hydatid cyst coming out of the right lung with gentle positive pressure ventilation
Mentions: In the second case, the cyst in the lung was occupying most of the right thoracic cavity, as seen on chest roentgenogram [Figure 2a] and computed tomogram [Figure 2b and c], and it was enucleated through anterolateral thoracotomy in the fifth intercostal space [Figure 2d] followed by right subcostal incision for the liver cysts. In the postoperative period, there was no air leak in the chest tubes. The chest tubes were removed on the fourth postoperative day after confirmation of the lung expansion on the chest roentgenogram. In the first case, the abdominal drains were removed after 1 week, although the second patient required abdominal drain for a longer period of 1 month for bile leakage which decreased gradually and eventually stopped.

Bottom Line: The clinical features in both were breathlessness on exertion, pain abdomen, and abdominal distension.Although the liver cysts were of larger size and occupying most of the right lobe of the liver and part of the left lobe, liver function tests were normal.Both patients recovered well, although the second patient required abdominal drain for a long period of 1 month for bile leakage which decreased gradually and eventually stopped.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiothoracic and Vascular Surgery, Dr. Rajendra Prasad Government Medical College, Kangra, Tanda, Himachal Pradesh, India.

ABSTRACT
Two patients presented to us with very similar clinical and radiological presentation of huge hydatid cysts in the lung and liver. The first patient was an 11-year-old female child and the second one was a 9-year-old male child. The clinical features in both were breathlessness on exertion, pain abdomen, and abdominal distension. Chest Roentgenogram along with computed tomogram of the chest and abdomen revealed presence of thin-walled homogenous large cysts, one in the right lung and two in the liver, in both the cases. Although the liver cysts were of larger size and occupying most of the right lobe of the liver and part of the left lobe, liver function tests were normal. All three cysts were enucleated in the same sitting by a combined thoracic and abdominal approach (thoracotomy followed by laparotomy). After enucleation of the cyst, capitonnage of the cavity in the lung was done and the liver cavities were filled with omentum to prevent collection of fluid and abscess formation. Both patients recovered well, although the second patient required abdominal drain for a long period of 1 month for bile leakage which decreased gradually and eventually stopped.

No MeSH data available.


Related in: MedlinePlus