Karcioglu Oguz, Kara Ayşen, Kurtulan Olcay, Uysal Serkan, Selçuk Ziya Toros
Department of Chest Diseases, School of Medicine, Hacettepe University, Ankara, Turkey.
Department of Pathology, School of Medicine, Hacettepe University, Ankara, Turkey.
Iran J Parasitol. 2024 Oct-Dec;19(4):484-488. doi: 10.18502/ijpa.v19i4.17170.
remains a global public health issue. Although predominantly affecting the liver, the lungs are the second most affected organ and often undergo surgical intervention. Here, a case managed by bronchoscopy and medical therapy is presented. A 26-year-old woman was presented with a cough, hemoptysis, and a 5 kg weight loss in the last two months. Chest imaging identified a 4 cm centrally cystic mass lesion in the middle lobe of the right lung, which was suspicious of lung cancer. Bronchoscopy revealed a whitish, plastic-like object that was difficult to extricate and obstructed the middle lobe bronchus. We removed the material and purulent secretions covering it and opened the middle lobe bronchus totally. The histopathological study verified its consistency with hydatid cyst. There was no evidence of a hydatid cyst on computerized thomography after bronchoscopy. The lesion in the left lobe of the liver, confirmed to be suggestive of a hydatid cyst via ultrasonography, was treated using the PAIR technique. We administered oral albendazole to continue the treatment. It may be a reasonable approach to postpone surgery in order to preserve lung tissue in patients who have undergone complete removal of hydatid cyst material via bronchoscope.
仍然是一个全球公共卫生问题。虽然主要影响肝脏，但肺部是第二大受影响器官，且常需接受手术干预。在此，介绍一例通过支气管镜检查和药物治疗处理的病例。一名26岁女性，在过去两个月出现咳嗽、咯血及体重减轻5千克。胸部影像学检查发现右肺中叶有一个4厘米的中央囊性肿块病变，怀疑为肺癌。支气管镜检查发现一个白色、类似塑料的物体，难以取出且阻塞了中叶支气管。我们取出了该物体及覆盖其上的脓性分泌物，并完全打开了中叶支气管。组织病理学研究证实其与包虫囊肿相符。支气管镜检查后计算机断层扫描未发现包虫囊肿迹象。肝脏左叶的病变经超声检查证实提示为包虫囊肿，采用经皮穿刺抽吸、注入无水乙醇、再行穿刺引流（PAIR）技术进行治疗。我们给予口服阿苯达唑以继续治疗。对于已通过支气管镜完全清除包虫囊肿物质的患者，为保留肺组织而推迟手术可能是一种合理的方法。
