[Outcomes after thoracotomy for intra-abdominal hydatid cysts ruptured into the thorax (a 160 case series)].

Abstract

INTRODUCTION:

The purpose of this study was to assess the results of the surgical treatment of abdominal hydatid cysts ruptured in the thorax.

PATIENTS AND METHODS:

We collected data from 160 patients who experienced the intra-thoracic rupture of an abdominal hydatid cyst during the period 1997 - 2008: 158 located in the liver, one in the spleen and one in the kidney, which had been treated surgically in a single centre. Diagnosis was based on a history of surgery for abdominal hydatid cysts, specific symptoms including biliptysis (40% of the cases) and expectoration of hydatid cysts, as well as radiological findings (chest x-ray; abdominal ultrasound and CT-scan). All patients were operated on through a thoracotomy.

RESULTS:

In-hospital mortality was 7.5%. Postoperative complications occurred in 16% and mainly consisted of pleural and pulmonary disorders.

CONCLUSION:

Thoracotomy offers simultaneous and adequate access to address thoracic and abdominal injuries with a reasonable mortality and morbidity in patients with this condition.

• Authors: Y Msougar, M Lakranbi, M Bouchikh, Y Ouadnouni, M Maidi, H Fenan, M Smahi, A Achir, M Caidi, L Herrak, A Alaziz, A Benosman
• Journal: Revue des maladies respiratoires (Rev Mal Respir) Vol. 27 Issue 5 Pg. 417-20 (May 2010) ISSN: 1776-2588 [Electronic] France
• Vernacular Title: La place de la thoracotomie dans le traitement des kystes hydatiques abdominaux rompus dans le thorax.
• PMID: 20569873 (Publication Type: English Abstract, Journal Article)
• Copyright: Copyright 2010 SPLF. Published by Elsevier Masson SAS. All rights reserved.

Topics

• Abdomen
• Adult
• Echinococcosis (complications, surgery)
• Female
• Humans
• Male
• Retrospective Studies
• Rupture
• Thoracotomy
• Thorax
• Treatment Outcome