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Lung hydatic cysts in children: comparison study between giant and non-giant cysts

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Abstract

Purpose

The aim of this study is to review our experience in pediatric giant pulmonary hydatid cysts focusing on clinical symptoms, location of the cyst, type of the intervention, postoperative complications and long-term results.

Methods

Between June 2002 and May 2007, 118 children were operated on for hydatid lung cysts. Two groups were defined: Group 1, 32 children with giant hydatid cysts and Group 2, 86 children with non-giant cysts. The statistical significance between the groups was estimated using paired samples t test.

Results

The mean age was 11.8 years in G1 and 9.7 years in G2. All of the patients were symptomatic in G1 but only 18% in G2 (P = 0.003). The right lower lobe was most frequently involved in both G1 and G2. Surgical parenchymal resection was performed in five patients in G1 (16%) and in 2% in G2 (P = 0.033). Postoperative complications in G1 were more significant comparatively to G2 (P = 0.003).

Conclusion

Giant hydatid lung cysts represent a distinct pathology. They affect essentially adolescents and may reach a large size causing parenchymal destruction. Thus, surgical resections are frequently used and postoperative complications rate is high.

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References

  1. Dogan R, Yüksel M, Cetin G (1989) Surgical treatment of hydatid cysts of the lung: report on 1055 patients. Thorax 44:192–199

    PubMed  CAS  Google Scholar 

  2. Karaoglanoglu N, Kurkcuoglu NC, Gorguner M, Eroglu A, Turkyilmaz A (2001) Giant hydatid lung cysts. Eur J Cardiothorac Surg 19:914–917. doi:10.1016/S1010-7940(01)00687-X

    Article  PubMed  CAS  Google Scholar 

  3. Halezeroglu S, Celik M, Uysal A, Senol C, Keles M, Arman B (1997) Giant hydatid cysts of the lung. J Thorac Cardiovasc Surg 113:712–717. doi:10.1016/S0022-5223(97)70228-9

    Article  PubMed  CAS  Google Scholar 

  4. Lamy AL, Cameron BH, LeBlanc JG, Culham JA, Blair GK, Taylor GP (1993) Giant hydatid lung cysts in the Canadian northwest: outcome of conservative treatment in three children. J Pediatr Surg 28:1140–1143

    Article  PubMed  CAS  Google Scholar 

  5. Romig T, Zeyhle E, Macpherson CNL, Rees PH, Were JBO (1986) Cyst growth and spontaneous cure in hydatid disease. Lancet

  6. Symbas PN, Aletras H (1994) Hydatid disease of the lung. In: Shields TW (ed) General thoracic surgery. Williams and Wilkins, Philadelphia

    Google Scholar 

  7. Hafsa C, Belguith M, Golli M (2005) Imagerie du kyste hydatique du poumon chez l’enfant. J Radiol 86:405–410

    PubMed  CAS  Google Scholar 

  8. Anadol D, Gocmen A, Kiper N (1998) Hydatid disease in childhood: a retrospective analysis of 376 cases. Pediatr Pulmonol 26:190–196. doi:10.1002/(SICI)1099-0496(199809)26:3<190::AID-PPUL6>3.0.CO;2-P

    Google Scholar 

  9. Celik M, Senol C, Keles M, Halezeroglu S, Urek S, Haciibrahimoglu G et al (2000) Surgical treatment of pulmonary hydatid disease in children: report of 122 cases. J Pediatr Surg 35:1710–1713

    Article  PubMed  CAS  Google Scholar 

  10. Ozçelik C, Inci I, Toprak M (1994) Surgical treatment of pulmonary hydatidosis in children: experience in 92 patients. J Pediatr Surg 29:392–395. doi:10.1016/0022-3468(94)90575-4

    Article  PubMed  Google Scholar 

  11. Solak H, Yeniterzi M, Yüksek T (1990) The hydatid cysts of the lung in children and results of surgical treatment. Thorac Cardiovasc Surg 38:45–47

    Article  PubMed  CAS  Google Scholar 

  12. Hasdiraz L, Oguzkaya F, Bilgin M (2006) Is lobectomy necessary in the treatment of pulmonary hydatid cysts? ANZ J Surg 76:488–490. doi:10.1111/j.1445-2197.2006.03761.x

    Article  PubMed  Google Scholar 

  13. Morris DL, Marriner S, Bogan J, Burrows F, Skeene-Smith H, Clarkson MJ (1985) Albendazole: objective evidence of response in human hydatid disease. JAMA 253:2053–2057

    Article  PubMed  CAS  Google Scholar 

  14. Gil-Grande LA, Boixeda D, Garcia-Hoz F, Barcena R, Lledo A, Suarez E, Pascasio JM, Moreira V (1983) Treatment of liver hydatid disease with mebendazole: a prospective study of thirteen cases. Am J Gastroenterol 78:584–588

    PubMed  CAS  Google Scholar 

  15. Senyuz OF, Yesildag E, Celayir S (2001) Albendazole therapy in the treatment of hydatid liver disease. Surg Today 31:487–491. doi:10.1007/s005950170106

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

The authors are sincerely thankful for Prof. Mohammed Benzagmout for his contribution in the manuscript.

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Authors and Affiliations

  1. Department of Pediatric Surgery, University Hospital Hassan II, BP. 2830 Fes principal, 30000, Fez, Morocco

    Mounir Arroud, My Abderrahmane Afifi & Youssef Bouabdallah

  2. Department of Epidemiology, University Hospital Hassan II, Fez, Morocco

    Karima El Ghazi & Chakib Nejjari

Authors
  1. Mounir Arroud
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  2. My Abderrahmane Afifi
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  3. Karima El Ghazi
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  4. Chakib Nejjari
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  5. Youssef Bouabdallah
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Correspondence to Mounir Arroud.

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Arroud, M., Afifi, M.A., Ghazi, K.E. et al. Lung hydatic cysts in children: comparison study between giant and non-giant cysts. Pediatr Surg Int 25, 37–40 (2009). https://doi.org/10.1007/s00383-008-2256-z

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  • DOI: https://doi.org/10.1007/s00383-008-2256-z

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