Çocukluk çağında pulmoner hidatik kist rüptürü: Başvuru şekli tanı ve tedavi yöntemleri

Abstract

Aim: Rupture of pulmonary hydatid cyst is rare yet very serious complication The patients may be presented with cough and hydroptysis or may be presented with anaphylaxis and suffocation Pediatric patients with ruptured pulmonary hydatid cyst were evaluated retrospectively surgical and medical options yielding to treatment are discussed Material and Method: Between January 1999 and June 2012 a total of 956 patients with hydatid cyst had undergone surgical treatment One hundred and ten patients with intrapelural intrabronchial hydatid cyst rupture were evaluated retrospectively Demographics clinical presentation treatment strategies and complications were recorded and discussed Results: Ruptured hydatid cysts are manifested as cough sputum n=92 massive hydoptysis expectoration of cyst content n=47 in patients with pulmonary cysts It was shown that superiorly localized cysts in lung were more likely to perforate Two patients with pulmonary ruptured hydatid cyst were admitted with suffocation Severe anaphylactic reaction requiring cardiopulmonary resuscitation and mechanic ventilation was encountered in 9 patients 9 Mild allergic reactions were observed in 13 patients Simple cystostomy drainage was the treatment of choice Conclusions: Hydoptysis accompanying with allergic reaction must yield the physician to the diagnosis of ruptured pulmonary hydatid cyst in pediatric patients All thoracic hydatid cysts should be operated on as soon as they are diagnosed in order to avoid complications and surgery should be as conservative as possible Simple cystotomy drainage is adequate during thoracotomy Benzimidazole should be administered postoperatively to avoid recurrences Turk Arch Ped 2013; 48: 323 6