Abstract
Hydatosis is a clinical entity known since the time of Hippocrates with Echinococcus granulosus as most common cause of hydatidosis. Humans as well as herbivores are infected as intermediate hosts and the zoonosis is most commonly observed in the liver and lungs. Intrathoracic extrapulmonary cysts are uncommon. We present the rare presentation of concomitant intrathoracic extrapulmonary and cervical hydatid cysts after a follow-up of 10 years. The patient presented with a soft palpable supraclavivular mass and increasing pain. Thoracoscopic exploration (VATS, video-assisted thoracic surgery) revealed a cystic lesion at the apex of the left hemithorax without contact to the lung. We performed a cystotomy and removed the laminated membrane. Later, the cervical hydatid cyst was removed. Five years later, a recurrence of the disease was again resected. Currently, 10 years after initial referral, the patient remains without any signs of active disease. To our knowledge, this is the first report of an intrathoracic extrapulmonary hydatidosis removed by VATS. Our report presents VATS as a surgical option in the treatment of intrathoracic extrapulmonary hydatid disease of the thoracic apex and confirms the feasibility of minimal invasive surgery for intrathoracic hydatid disease.
References
Deplazes P, Rinaldi L, Alvarez Rojas CA, et al. Global distribution of alveolar and cystic echinococcosis Echinococcus and Echinococcosis, Part A. Vol. 95. 2017.
Ozyurtkan MO, Balci AE. Surgical treatment of intrathoracic hydatid disease: a 5-year experience in an endemic region. Surg Today. 2010;40:31–7.
Findikcioglu A, Karadayi S, Kilic D, Hatiopoglu A. Video-assisted thoracoscopic surgery to treat hydatid disease of the thorax in adults: is it feasible? J Laparoendosc Adv Surg Tech A. 2012;22:882–5.
Sebit S, Tunc H, Gorur R, et al. The evaluation of 13 patients with intrathoracic extrapulmonary hydatidosis. J Int Med Res. 2005;33:215–21.
Ozdemir N, Akal M, Kutlay H, Yavuzer S. Chest wall echinococcosis. Chest. 1994;105:1277–9.
Arik HO, Arican M, Cetin NK, Sarp U. Primary intraosseous hydatid cyst of femur. Iran Red Crescent Med J. 2015;17:e21070.
Yeginsu A, Kayaoglu HA. Single-stage VATS and thoracotomy in multiple organ hydatidosis. Thorac Cardiovasc Surg. 2007;55:125–7.
Petrov DB, Terzinacheva PP, Djambazov VI, et al. Surgical treatment of bilateral hydatid disease of the lung. Eur J Cardiothorac Surg. 2001;19:918–23.
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This article is part of the Topical Collection on Surgery
This case has been presented as poster at the Joint CHEST-SGP congress in Basel, Switzerland, in June 2017.
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Guglielmetti, L.C., Caviezel, C., Hillinger, S. et al. Concomitant Intrathoracic Extrapulmonal and Cervical Hydatid Cyst—a 10-Year Follow-up. SN Compr. Clin. Med. 1, 96–98 (2019). https://doi.org/10.1007/s42399-018-0025-4
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DOI: https://doi.org/10.1007/s42399-018-0025-4