[Intrapleural rupture of pulmonary hydatid cysts].

Abstract:

INTRODUCTION:Intrapleural rupture of pulmonary hydatid cyst (PHC) is a rare but dangerous complication. The purpose of this study was to report the characteristics of this form of thoracic hydatidosis and analyze the favoring factors. MATERIALS AND METHODS:Between 1996 and 2011, 75 patients were operated in our department for PHC ruptured in the pleura (PHCP). The characteristics of this group were compared with those of a control group of 300 patients randomly selected from patients operated during the same period for PHC. RESULTS:PHCP patients were younger than controls (23 years old vs. 27,56) (P=0.03) with male predominance (70% vs. 46%) (P=0.01). The PHCP were often located in the lower lobes (64% vs. 48%) (P=0.03). Anatomic resections were more used in control group (P=0.03) whereas decortication and pleurectomy were more frequently in PHCP (P=0.001). CONCLUSION:Young age, male sex, and basal locations of PHC promote their rupture in the pleura. Surgical treatment of these cysts requires less anatomic resections but more decortication and pleurectomy.

journal_name

Rev Pneumol Clin

authors

Bouchikh M,Achir A,Maidi M,Ouchen F,Fenane H,Benosman A

doi

10.1016/j.pneumo.2013.12.006

subject

Has Abstract

pub_date

2014-08-01 00:00:00

pages

203-7

issue

4

eissn

0761-8417

issn

1776-2561

pii

S0761-8417(14)00007-8

journal_volume

70

pub_type

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