Haddad Saddik, Bashour George, Kaada Hussein, Rajab Samer, Al-Janabi Moatasem Hussein, Alshehabi Zuheir
Faculty of Medicine, Tishreen University, GRF4+3WH, Latakia 2230, Syria.
Cancer Research Center, Tishreen University Hospital, GRF3+R8F, Latakia 2230, Syria.
J Surg Case Rep. 2024 Jul 16;2024(7):rjae458. doi: 10.1093/jscr/rjae458. eCollection 2024 Jul.
Hydatidosis is a zoonotic parasitic disease caused by the cystic stage of Echinococcus species. Intrathoracic extrapulmonary hydatid cysts causing eventration are very rare. Here, we report a case of a 62-year-old female who presented with chest pain, intermittent coughing, general weakness, and fever. On auscultation, there were diminished respiratory sounds at the base of the left lung. A computed tomography scan showed a cystic formation with an ambiguous location involving the left lower thorax and the left hypochondrium. Complete surgical resection is the standard treatment for intrathoracic extrapulmonary hydatid cysts. Due to the direct bordering of the cyst with the pericardium in the left cadiophrenic angle, a cystotomy and evacuation of the cystic cavity were performed, followed by washing it with povidone and hyperosmolar saline. The location of the hydatid cyst has an important role in determining the surgical approach, as the unusual location could affect the possibility of radically removing the cyst.
包虫病是一种由棘球绦虫属囊蚴阶段引起的人畜共患寄生虫病。引起膈膨升的胸内肺外包虫囊肿非常罕见。在此，我们报告一例62岁女性患者，她表现为胸痛、间歇性咳嗽、全身乏力和发热。听诊时，左肺底部呼吸音减弱。计算机断层扫描显示一个位置不明确的囊性结构，累及左下胸部和左季肋部。完整的手术切除是胸内肺外包虫囊肿的标准治疗方法。由于囊肿在左心膈角处与心包直接相邻，遂行囊肿切开并清除囊腔内容物，随后用聚维酮和高渗盐水冲洗。包虫囊肿的位置在决定手术方式方面起着重要作用，因为不寻常的位置可能会影响彻底切除囊肿的可能性。
