Case Report
Volume 4 Issue 5 - 2021
One Stage Operation in Bilateral Pulmonary and Spleen Hydatid Cyst in Uncommon Localization
Manouchehr Aghajanzadeh1, Yousha Pourahmadi Tel2*, Siyamak Rimaz4, Alirza Jafarnegad3, Azita Tangestaninejad3, Ali Alavi Fomani3, Mohammad Taghi Ashoobi2, Habibzadeh2 and Mahsa Hossini2
1Department of Thoracic Surgery, Guilan University of Medical Sciences, Rasht, Iran
2Department of General Surgery, Guilan University of Medical Sciences, Rasht, Iran
3Department of Pulmonology, Guilan University of Medical Sciences, Rasht, Iran
4Department of Anesthesiology, Guilan University of Medical Sciences, Rasht, Iran
*Corresponding Author: Yousha Pourahmadi Tel, Department of General Surgery, Guilan University of Medical Sciences, Rasht, Iran.
Received: February 09, 2021; Published: April 29, 2021




Abstract

Introduction and Case Report: The lung is the second most commonly organ which affected after liver cyst by echinococcosis and the bilateral involvement of lung is rare and Primary spleen hydatid cysts are very rare seen even in endemic country. We report the case of a 32-year-old man who presented with left thoracic and left upper abdominal pain and dry cough evolving for four months. Two homogeneous, rounded cystic lesions with enhancement located in the lower lobes of either lungs was seen in chest ct scan with IV contrast. In search of other possible cysts, an abdominopelvic CT scan with IV contrast was performed that revealed another cystic formation in favor of splenic hydatid cyst. With the diagnosis of bilateral hydatid pulmonary cyst associated with splenic hydatid cyst the patient underwent one-staged bilateral anterolateral thoracotomy with tans-diaphragmatic approach for splenic cyst. The patient has uneventful postoperative course. There are some debates about the management of bilateral pulmonary hydatid cyst. Some would choose a two-staged surgery, with an interval of three to four weeks between procedures, but others recommended an one-staged approach instead. The splenic hydatid cyst is generally rare in comparison of hepatic hydatid cysts.

Conclusion: Bilateral pulmonary hydatidosis associated with splenic hydatid cyst is extremely rare. Imaging investigations and especially CT scan are the best tool for diagnosis. Surgery remains the modality of choice for hydatid cyst disease.

Keywords: Hydatid Cyst Disease (HC); Bilateral Pulmonary; Spleen Hydatid Cyst

References

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Citation: Yousha Pourahmadi Tel., et al.. “One Stage Operation in Bilateral Pulmonary and Spleen Hydatid Cyst in Uncommon Localization”. EC Clinical and Medical Case Reports 4.5 (2021): 39-44.

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