Volume 32, Issue 9 (December 2021)
Studies in Medical Sciences 2021, 32(9): 684-690 |
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Mahmodlou R, Roydel F, Rivaz B, Moradi M, Khalilpour A, Mobaraki K, et al . Traumatic Rupture of a Latent Lung Hydatid Cyst and Drowning and Asphyxia with Hydatid Fluid in a 5-year-old Boy, 2021: A Case Report. Studies in Medical Sciences 2021; 32 (9) :684-690
URL: http://umj.umsu.ac.ir/article-1-5600-en.html
URL: http://umj.umsu.ac.ir/article-1-5600-en.html
Rahim Mahmodlou 
, Fatemeh Roydel , Bahare Rivaz , Mahboobeh Moradi , Abbas Khalilpour , Kazhal Mobaraki , Jamal Ahmadzadeh , Awat Yousefiazar
, Fatemeh Roydel , Bahare Rivaz , Mahboobeh Moradi , Abbas Khalilpour , Kazhal Mobaraki , Jamal Ahmadzadeh , Awat Yousefiazar
MSc, Department of surgical technology, School of Allied Medical Sciences, Urmia University of Medical Sciences, Urmia, Iran (Corresponding Author) , Yousefiazar.a@umsu.ac.ir
Abstract: (6775 Views)
Lung involvement is a common presentation of Hydatid disease in children. In addition, giant Hydatid cyst is common in children due to parenchymal elasticity of their lungs. In this study, we presented a case of giant Hydatid cyst that was ruptured following trauma through car accident and lung drowning with Hydatid fluid in a 5-year-old boy.
Case presentation: Our patient was a 5-year-old boy who was injured in a car accident. He had full signs and symptoms of obvious respiratory failure. Based on chest X-ray, the primary diagnosis was congenital pulmonary cyst, so a chest tube was placed for decompression. By evaluation of the chest CT-scan, we detected a communicating rupture of Hydatid cyst. Despite full conservative treatment, patient’s condition was exacerbated. Therefore, we decided to perform surgical intervention for removing the pressure of the cyst on lung. The patient’s condition did not improve. Unfortunately, the patient had cardiac arrest, cardiopulmonary resuscitation was not successful and we lost the patient.
Conclusion: Chest trauma is common in traumatic patients and pleural effusion, empyema, and pneumothorax may occur for a variety of reasons. Various factors can cause these symptoms, and among all the possible causes, the physician should consider the possibility of a ruptured Hydatid cyst following trauma to the lung as one of the differential diagnoses, especially in endemic areas with higher prevalence of Hydatid disease. In the present case, cyst rupture and subsequent drowning and asphyxia with cyst fluid were the main causes of mortality.
Case presentation: Our patient was a 5-year-old boy who was injured in a car accident. He had full signs and symptoms of obvious respiratory failure. Based on chest X-ray, the primary diagnosis was congenital pulmonary cyst, so a chest tube was placed for decompression. By evaluation of the chest CT-scan, we detected a communicating rupture of Hydatid cyst. Despite full conservative treatment, patient’s condition was exacerbated. Therefore, we decided to perform surgical intervention for removing the pressure of the cyst on lung. The patient’s condition did not improve. Unfortunately, the patient had cardiac arrest, cardiopulmonary resuscitation was not successful and we lost the patient.
Conclusion: Chest trauma is common in traumatic patients and pleural effusion, empyema, and pneumothorax may occur for a variety of reasons. Various factors can cause these symptoms, and among all the possible causes, the physician should consider the possibility of a ruptured Hydatid cyst following trauma to the lung as one of the differential diagnoses, especially in endemic areas with higher prevalence of Hydatid disease. In the present case, cyst rupture and subsequent drowning and asphyxia with cyst fluid were the main causes of mortality.
Type of Study: case report |
Subject:
جراحی عمومی
References
1. Özdemir A, Bozdemir ŞE, Akbiyik D, Daar G, Korkut S, Korkmaz L, et al. Anaphylaxis due to ruptured pulmonary hydatid cyst in a 13-year-old boy. Asia Pacific Allergy 2015;5(2):128-31. [DOI:10.5415/apallergy.2015.5.2.128] [PMID] [PMCID]
2. Stewart M, Cunningham M. Tension pneumothorax complicating pulmonary hydatid disease in childhood. Clinical pediatrics 1987;26(8):422-4. [DOI:10.1177/000992288702600809] [PMID]
3. Gulalp B, Koseoglu Z, Toprak N, Satar S, Sebe A, Gokel Y, et al. Ruptured hydatid cyst following minimal trauma and few signs on presentation. Neth J Med 2007;65(3):117-8. [Google Scholar]
4. Hijazi MH, Al-Ansari MA. Pulmonary hydatid cyst in a pregnant patient causing acute respiratory failure. Ann Thorac Med 2007;2(2):66. [DOI:10.4103/1817-1737.32234] [PMID] [PMCID]
5. Shameem M, Akhtar J, Bhargava R, Ahmed Z, Khan NA, Baneen U. Ruptured pulmonary hydatid cyst with anaphylactic shock and pneumothorax. Respir. Care 2011;56(6):863-5. [DOI:10.4187/respcare.00821] [PMID]
6. Ashour MH, Hajjar WM, Ishaq M, Alamassi M, Saleh W, Al Kattan KM, et al. Pulmonary hydatid cysts: the naturally occurring models for rupture. Asian Cardiovasc Thorac Ann 2016;24(7):670-5. [DOI:10.1177/0218492316658374] [PMID]
7. Sokouti M, Shokouhi B, Sokouti M, Sokouti B. Giant Pulmonary Hydatid Cyst and Trauma in a 9 Year-Old Child: A Case Report. Open Respir Med J 2015;9:67. [DOI:10.2174/1874306401509010067] [PMID] [PMCID]
8. Jedidi M, Mlayeh S, Masmoudi T, Souguir MK, Zemni M. Sudden death due to hydatid cyst: thirty-four medicolegal autopsy cases. Am. J. Forensic Med. Pathol 2014;35(1):29-33. [DOI:10.1097/PAF.0000000000000064] [PMID]
9. Arroud M, Afifi MA, El Ghazi K, Nejjari C, Bouabdallah Y. Lung hydatic cysts in children: comparison study between giant and non-giant cysts. Pediatr. Surg. Int 2009;25(1):37. [DOI:10.1007/s00383-008-2256-z] [PMID]
10. Mahmodlou R, Sepehrvand N, Nasiri M. Saucerization: a modified uncapitonnage method of surgery for pulmonary hydatidosis. World J. Surg 2013;37(9):2129-33. [DOI:10.1007/s00268-013-2093-7] [PMID]
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