Recurrent pulmonary hydatid disease: Analysis of ten cases

Purpose To investigate the incidence and define the importance of recurrent pulmonary hydatid cysts in developing countries. Methods We analyzed the records of 312 patients with pulmonary hydatid cyst disease diagnosed in our center between 1999 and 2005. Results A recurrent pulmonary hydatid cyst w...

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Bibliographic Details
Published in:Surgery today (Tokyo, Japan) Japan), 2008-11, Vol.38 (11), p.983-986
Main Authors: Arinc, Sibel, Alpay, Levent, Okur, Erdal, Köksal, Cengiz, Sogukpinar, Ozlem, Kosif, Aysun, Halezeroglu, Semih, Atasalihi, Ali
Format: Article
Language:English
Subjects:
Adult
Developing Countries
Echinococcosis, Pulmonary - diagnosis
Echinococcosis, Pulmonary - epidemiology
Echinococcosis, Pulmonary - therapy
Female
Humans
Incidence
Male
Medicine
Medicine & Public Health
Middle Aged
Original Article
Recurrence
Surgery
Surgical Oncology
Thoracotomy
Young Adult
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Summary:Purpose To investigate the incidence and define the importance of recurrent pulmonary hydatid cysts in developing countries. Methods We analyzed the records of 312 patients with pulmonary hydatid cyst disease diagnosed in our center between 1999 and 2005. Results A recurrent pulmonary hydatid cyst was diagnosed in 10 (3.2%) of the 312 patients [8 men and 2 women, mean age 36.9 (range 20–60) years]. The diagnosis was based on radiographic, clinical, or serological findings, established intraoperatively. The most frequent symptom of recurrent pulmonary hydatid cyst was hemoptysis (60%). The mean interval between diagnosis of the initial hydatid cyst and detection of recurrence was 8.75 (range 3–15) years. Bronchoscopy was performed in all patients, but proved diagnostic in only one. The localization of the initial and recurrent cysts differed in seven patients. A median follow-up period of 5 years revealed second recurrences in only two patients; manifesting as an intrapleural rupture of the cyst in one and as empyema in one. The recurrence was treated by resection in all patients; as cystectomy in eight patients, lobectomy in one patient, and pneumonectomy in one patient. Conclusion Pulmonary hydatid cyst may recur in the same or a different location in the lung. Patients with a pleural lesion must be followed up regularly for any signs of recurrence.
ISSN:0941-1291
1436-2813
DOI:10.1007/s00595-008-3759-x