D'Alessandro Gian Luca, Pontarelli Agostina, Leka Armanda, Casazza Dino, Lissandrin Raffaella, Manciulli Tommaso, Botta Annarita, Parrella Roberto, Brunetti Enrico, Rinaldi Pietro
Department of Clinical Surgical Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy.
Unit of Respiratory Infectious Diseases, Cotugno Hospital, Azienda Ospedaliera dei Colli, Naples, Italy.
Case Rep Infect Dis. 2024 Mar 14;2024:5167805. doi: 10.1155/2024/5167805. eCollection 2024.
Lung is the second most common locationof cystic echinococcosis (CE), after the liver. Diagnosis of lung CE is often incidental, and clinical manifestations depend on the location and size of the cyst, the most common being chest pain, shortness of breath, expectoration of fragments of endocyst, and haemoptysis. Surgery is the primary treatment, with a minor role for medical therapy. Delayed diagnosis and treatment may have important consequences. We present a case of lung CE in whichsurgical treatment was delayed due to the first wave of COVID-19. Since surgery could not be performed immediately, the patient was kept on albendazole and the cyst stage moved from CE1 to CE3a, to CE4, eventually requiring a more aggressive pericystectomy instead of the commonly performed endocystectomy. The clinical and imaging characteristics of a rare CE4 cyst of the lung are reported.
肺是继肝脏之后囊型棘球蚴病（CE）的第二常见发病部位。肺CE的诊断通常是偶然发现的，其临床表现取决于囊肿的位置和大小，最常见的症状是胸痛、呼吸急促、咳出内囊碎片和咯血。手术是主要的治疗方法，药物治疗起次要作用。诊断和治疗延迟可能会产生严重后果。我们报告一例肺CE病例，由于第一波新冠疫情，手术治疗被推迟。由于无法立即进行手术，患者持续服用阿苯达唑，囊肿阶段从CE1发展到CE3a，再到CE4，最终需要进行更积极的囊周切除术，而不是通常施行的内囊摘除术。本文报告了一种罕见的肺CE4囊肿的临床和影像学特征。
