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


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


  1. Manougheher Aghjanzadeh., et al. “One-Stage Procedure for Lung and Liver Hydatid Cysts”. Asian Cardiovascular and Thoracic Annals 5 (2008): 392.
  2. DP McManus., et al. “Echinococcosis”. Lancet 362 (2003): 1295-1304.
  3. Mojtaba Hedayat Yaghoobi., et al. “Imaging features of the lungs hydatid cyst disseminated into the brain and spleen”. Radiology Case Reports 8 (2019): 903-905.
  4. I Ben Ismail., et al. “Primary hydatic cyst of the fallopian tube”. ID Cases 20 (2020): e00790.
  5. RA Agha., et al. “For the SCARE Group, The SCARE 2018 statement: updating consensus Surgical CAse REport (SCARE) guidelines”. International Journal of Surgery 60 (2018): 132-136.
  6. M Sarkar., et al. “Cystic pulmonary hydatidosis”. Lung India 33 (2016): 179-191.
  7. L Hasdıraz., et al. “Bilateral staged thoracotomy for multiple lung hydatidosis”. Journal of Cardiothoracic Surgery 8 (2013): 121.
  8. M Aghajanzadeh., et al. “Multiple and bilaterally pulmonary hydatid cystic and liver mimicking metastatic lesion from ovarian malignancy”. Journal of Liver Research, Disorders and Therapy 2 (2018): 76-78.
  9. Manoucher Aghajanzadeh., et al. “Management of pleural Complications of Lung and Liver Hydatid Cysts in 34 Patients”. International Journal of Life Sciences4 (2007): 15-19.
  10. Manochehr Aghajanzadeh., et al. “One Stage Operation for Five Giant Hydatid Cysts of Both Lungs and Liver in a 20-Year-Old Female”. Tanaffos3 (2012): 52-54.
  11. Manouchehr Aghajanzadeh., et al. “One-staged anterolateral thoracotomy for bilateral lung hydatid cysts”. Annals of Tropical Medicine and Public Health 10 (2017): 1601-1606.
  12. Mohammad Sadegh Eamaeili Delshad., et al. “Complicated primary Hydatid Cyst in brachioradialis An extremely unusual site”. Merit Research Journal of Medicine and Medical Sciences2 (2016): 076-078.
  13. Houssem Messaoudi., et al. “Bilateral pulmonary hydatidosis associated with uncommon muscular localization”. International Journal of Surgery Case Reports 76 (2020): 130-133.
  14. Manouchehr Aghajanzadeh., et al. “Diagnosis and Management of Eight Cases of Primary and Isolated Splenic Hydatid Cyst”. JSM Clinical Cytology and Pathology (2019): 5.
  15. JC Angulo., et al. “Primary bilateral hydatidosis of the psoas muscle”. The Journal of Urology 161 (1999): 1557-1558.
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.

PubMed Indexed Article

EC Pharmacology and Toxicology
LC-UV-MS and MS/MS Characterize Glutathione Reactivity with Different Isomers (2,2' and 2,4' vs. 4,4') of Methylene Diphenyl-Diisocyanate.

PMID: 31143884 [PubMed]

PMCID: PMC6536005

EC Pharmacology and Toxicology
Alzheimer's Pathogenesis, Metal-Mediated Redox Stress, and Potential Nanotheranostics.

PMID: 31565701 [PubMed]

PMCID: PMC6764777

EC Neurology
Differences in Rate of Cognitive Decline and Caregiver Burden between Alzheimer's Disease and Vascular Dementia: a Retrospective Study.

PMID: 27747317 [PubMed]

PMCID: PMC5065347

EC Pharmacology and Toxicology
Will Blockchain Technology Transform Healthcare and Biomedical Sciences?

PMID: 31460519 [PubMed]

PMCID: PMC6711478

EC Pharmacology and Toxicology
Is it a Prime Time for AI-powered Virtual Drug Screening?

PMID: 30215059 [PubMed]

PMCID: PMC6133253

EC Psychology and Psychiatry
Analysis of Evidence for the Combination of Pro-dopamine Regulator (KB220PAM) and Naltrexone to Prevent Opioid Use Disorder Relapse.

PMID: 30417173 [PubMed]

PMCID: PMC6226033

EC Anaesthesia
Arrest Under Anesthesia - What was the Culprit? A Case Report.

PMID: 30264037 [PubMed]

PMCID: PMC6155992

EC Orthopaedics
Distraction Implantation. A New Technique in Total Joint Arthroplasty and Direct Skeletal Attachment.

PMID: 30198026 [PubMed]

PMCID: PMC6124505

EC Pulmonology and Respiratory Medicine
Prevalence and factors associated with self-reported chronic obstructive pulmonary disease among adults aged 40-79: the National Health and Nutrition Examination Survey (NHANES) 2007-2012.

PMID: 30294723 [PubMed]

PMCID: PMC6169793

EC Dental Science
Important Dental Fiber-Reinforced Composite Molding Compound Breakthroughs

PMID: 29285526 [PubMed]

PMCID: PMC5743211

EC Microbiology
Prevalence of Intestinal Parasites Among HIV Infected and HIV Uninfected Patients Treated at the 1o De Maio Health Centre in Maputo, Mozambique

PMID: 29911204 [PubMed]

PMCID: PMC5999047

EC Microbiology
Macrophages and the Viral Dissemination Super Highway

PMID: 26949751 [PubMed]

PMCID: PMC4774560

EC Microbiology
The Microbiome, Antibiotics, and Health of the Pediatric Population.

PMID: 27390782 [PubMed]

PMCID: PMC4933318

EC Microbiology
Reactive Oxygen Species in HIV Infection

PMID: 28580453 [PubMed]

PMCID: PMC5450819

EC Microbiology
A Review of the CD4 T Cell Contribution to Lung Infection, Inflammation and Repair with a Focus on Wheeze and Asthma in the Pediatric Population

PMID: 26280024 [PubMed]

PMCID: PMC4533840

EC Neurology
Identifying Key Symptoms Differentiating Myalgic Encephalomyelitis and Chronic Fatigue Syndrome from Multiple Sclerosis

PMID: 28066845 [PubMed]

PMCID: PMC5214344

EC Pharmacology and Toxicology
Paradigm Shift is the Normal State of Pharmacology

PMID: 28936490 [PubMed]

PMCID: PMC5604476

EC Neurology
Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia

PMID: 28713879 [PubMed]

PMCID: PMC5510658

EC Neurology
Unilateral Frontosphenoid Craniosynostosis: Case Report and a Review of the Literature

PMID: 28133641 [PubMed]

PMCID: PMC5267489

EC Ophthalmology
OCT-Angiography for Non-Invasive Monitoring of Neuronal and Vascular Structure in Mouse Retina: Implication for Characterization of Retinal Neurovascular Coupling

PMID: 29333536 [PubMed]

PMCID: PMC5766278

EC Neurology
Longer Duration of Downslope Treadmill Walking Induces Depression of H-Reflexes Measured during Standing and Walking.

PMID: 31032493 [PubMed]

PMCID: PMC6483108

EC Microbiology
Onchocerciasis in Mozambique: An Unknown Condition for Health Professionals.

PMID: 30957099 [PubMed]

PMCID: PMC6448571

EC Nutrition
Food Insecurity among Households with and without Podoconiosis in East and West Gojjam, Ethiopia.

PMID: 30101228 [PubMed]

PMCID: PMC6086333

EC Ophthalmology
REVIEW. +2 to +3 D. Reading Glasses to Prevent Myopia.

PMID: 31080964 [PubMed]

PMCID: PMC6508883

EC Gynaecology
Biomechanical Mapping of the Female Pelvic Floor: Uterine Prolapse Versus Normal Conditions.

PMID: 31093608 [PubMed]

PMCID: PMC6513001

EC Dental Science
Fiber-Reinforced Composites: A Breakthrough in Practical Clinical Applications with Advanced Wear Resistance for Dental Materials.

PMID: 31552397 [PubMed]

PMCID: PMC6758937

EC Microbiology
Neurocysticercosis in Child Bearing Women: An Overlooked Condition in Mozambique and a Potentially Missed Diagnosis in Women Presenting with Eclampsia.

PMID: 31681909 [PubMed]

PMCID: PMC6824723

EC Microbiology
Molecular Detection of Leptospira spp. in Rodents Trapped in the Mozambique Island City, Nampula Province, Mozambique.

PMID: 31681910 [PubMed]

PMCID: PMC6824726

EC Neurology
Endoplasmic Reticulum-Mitochondrial Cross-Talk in Neurodegenerative and Eye Diseases.

PMID: 31528859 [PubMed]

PMCID: PMC6746603

EC Psychology and Psychiatry
Can Chronic Consumption of Caffeine by Increasing D2/D3 Receptors Offer Benefit to Carriers of the DRD2 A1 Allele in Cocaine Abuse?

PMID: 31276119 [PubMed]

PMCID: PMC6604646

EC Anaesthesia
Real Time Locating Systems and sustainability of Perioperative Efficiency of Anesthesiologists.

PMID: 31406965 [PubMed]

PMCID: PMC6690616

EC Pharmacology and Toxicology
A Pilot STEM Curriculum Designed to Teach High School Students Concepts in Biochemical Engineering and Pharmacology.

PMID: 31517314 [PubMed]

PMCID: PMC6741290

EC Pharmacology and Toxicology
Toxic Mechanisms Underlying Motor Activity Changes Induced by a Mixture of Lead, Arsenic and Manganese.

PMID: 31633124 [PubMed]

PMCID: PMC6800226

EC Neurology
Research Volunteers' Attitudes Toward Chronic Fatigue Syndrome and Myalgic Encephalomyelitis.

PMID: 29662969 [PubMed]

PMCID: PMC5898812

EC Pharmacology and Toxicology
Hyperbaric Oxygen Therapy for Alzheimer's Disease.

PMID: 30215058 [PubMed]

PMCID: PMC6133268

News and Events

June Issue Release

We always feel pleasure to share our updates with you all. Here, notifying you that we have successfully released the June issue of respective journals and the latest articles can be viewed on the current issue pages.

Submission Deadline for upcoming Issue

Ecronicon delightfully welcomes all the authors around the globe for effective collaboration with an article submission for the upcoming issue of respective journals. Submissions are accepted on/before July 06, 2021.

Certificate of Publication

Ecronicon honors with a "Publication Certificate" to the corresponding author by including the names of co-authors as a token of appreciation for publishing the work with our respective journals.

Best Article of the Issue

Editors of respective journals will always be very much interested in electing one Best Article after each issue release. The authors of the selected article will be honored with a "Best Article of the Issue" certificate.

Certifying for Review

Ecronicon certifies the Editors for their first review done towards the assigned article of the respective journals.

Latest Articles

The latest articles will be updated immediately on the articles in press page of the respective journals.

Immediate Assistance

The prime motto of this team is to clarify all the queries without any delay or hesitation to avoid the inconvenience. For immediate assistance on your queries please don't hesitate to drop an email to