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Pleural complications of pulmonary hydatid disease
Author(s) -
Ozvaran Mustafa Kursat,
Ersoy Yesim,
Uskul Bahadir,
Unver Ethem,
Yalcin Engin,
Baran Reha,
Morice Rodolfo C.
Publication year - 2004
Publication title -
respirology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.857
H-Index - 85
eISSN - 1440-1843
pISSN - 1323-7799
DOI - 10.1111/j.1440-1843.2003.00518.x
Subject(s) - medicine , hydropneumothorax , pleural effusion , radiography , radiology , surgery , lung , bronchoscopy , incidence (geometry) , pneumothorax , physics , optics
Objective: The aim of this study was to determine the incidence and diagnostic features of pleural manifestations of pulmonary hydatid disease. Methodology: Patients with pleural pathology in association with surgery for pulmonary hydatid disease over an 8‐year period were evaluated. Results: Twenty‐nine (6%) of 474 patients with histologically confirmed pulmonary hydatid disease had pleural abnormalities. The diagnosis was determined preoperatively in 22 patients and was based on radiographic, clinical, and/or serology findings. Bronchoscopic specimens were diagnostic in two of seven patients who had bronchoscopy. Five patients were not diagnosed until surgery. Radiographic abnormalities consisted of pleural thickening and/or free fluid without intrapleural rupture of the cysts in 21 patients. Eight patients had a hydropneumothorax. Sixteen patients had an exudative, uncomplicated effusion. The remaining patients had empyemas. All patients had resection of the pulmonary cysts, and 20 also underwent a pleurectomy. The mean length of hospital stay was 23 ± 14 days. There was no hospital mortality. Conclusion: Pleural lesions associated with pulmonary hydatid disease are rare and have a variable radiographic appearance. In regions in which echinococcal disease is endemic, a high level of clinical suspicion is necessary for diagnosis and appropriate management of this condition.