Complicated Thoracic Hydatidosis

F. Haouassia, K. Chaanoun, N. Zaghba, H. Benjelloun, N. Yassine
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Abstract

Objective: Thoracic hydatid cysts represent a significant clinical challenge, particularly in endemic regions like Morocco. This retrospective study conducted at Ibn Rochd University Hospital in Casablanca aimed to elucidate the clinical characteristics, management strategies, and outcomes of 63 patients with complicated thoracic hydatid cysts. Results revealed a predominance of rural background among patients, with a mean age of 42 years. Clinical presentations varied, with common symptoms including hydatid coughing and complications such as bronchial and pleural rupture. Radiological investigations, including chest X-rays and computed tomography scans, demonstrated typical features of thoracic hydatid cysts. Treatment modalities comprised surgical intervention and medical management, with favorable outcomes observed in most cases. Discussion encompasses the endemic nature of thoracic hydatidosis, radiological appearances, complications, and challenges in management. Emphasis is placed on the importance of comprehensive approaches, including surgical techniques, medical therapy, and preventive measures, in addressing this formidable pathology. The findings underscore the need for continued research and public health initiatives to optimize the management and prevention of thoracic hydatid cysts.
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并发胸腔积水症
目的:胸腔包虫囊肿是一项重大的临床挑战,尤其是在像摩洛哥这样的地方病流行地区。这项回顾性研究在卡萨布兰卡 Ibn Rochd 大学医院进行,旨在阐明 63 名复杂性胸腔包虫囊肿患者的临床特征、管理策略和治疗效果。结果显示,患者以农村人口为主,平均年龄为 42 岁。临床表现各不相同,常见症状包括水瘤样咳嗽以及支气管和胸膜破裂等并发症。胸部 X 光片和计算机断层扫描等放射学检查显示出胸腔水瘤囊肿的典型特征。治疗方法包括手术干预和药物治疗,大多数病例都取得了良好的疗效。讨论内容包括胸腔包虫病的地方病性质、放射学表现、并发症和治疗中的挑战。重点强调了综合方法的重要性,包括外科技术、药物治疗和预防措施,以应对这种可怕的病症。研究结果突出表明,有必要继续开展研究并采取公共卫生措施,以优化胸腔包虫囊肿的管理和预防。
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