Giant Pulmonary Hydatid Cyst and Trauma in a 9 Year-Old Child: A Case Report



Mohsen Sokouti 1, Behrooz Shokouhi 2, Massoud Sokouti 3, Babak Sokouti*, 4
1 Department of Cardiothoracic Surgery, Imam Reza Hospital, Tabriz University of Medical Sciences, Tabriz, Iran
2 Department of Pathology, Imam Reza Hospital, Tabriz University of Medical Sciences, Tabriz, Iran
3 Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
4 Biotechnology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran


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© Sokouti et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Biotechnology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran; Tel: +98(41)33364038; Fax: +98(41)33379420; E mail: b.sokouti@gmail.com


Abstract

Herein, we report a case of giant lung hydatid cyst in a nine-year-old boy. For four years, he experienced mild chest pain and chronic nonproductive cough. He had a trauma resulted from a fall two days before admission. Chest X-ray showed misdiagnosed massive pleural effusion, and was aspirated in the other hospital. However, after admission, the computed tomography revealed a giant lung hydatid cyst filling the right hemithorax completely. Being considered by the diagnosis of ruptured lung hydatid cyst, he was treated surgically by right-thoracotomy. The existing hydatid cyst, (e.g., with a dimension of 30*22*20cm) filled all cavity of hemithorax extended from the right diaphragm to the apex of the lung situated in the right lower lobe. After evacuation of the hydatid fluid and laminated membrane, right lower lobectomy was carried out due to remaining no salvageable parenchyma without any complications. Also, the pathologic examination have confirmed hydatid cyst. In conclusion, giant hydatid cysts are probably misdiagnosed with massive pleural effusion in the endemic area. And, because of the risk of allergic reactions, anaphylactic shock and dissemination, it should not be aspirated.

Keywords: Children, giant, hydatid cyst, lung, pleural effusion.