HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Balci, A. E. Articles by Ülkü, R. Search for Related Content PubMed PubMed Citation Articles by Balci, A. E. Articles by Ülkü, R. Related Collections Lung - other

Ann Thorac Surg 2002;74:889-892
© 2002 The Society of Thoracic Surgeons

---

Original article: general thoracic

Ruptured hydatid cysts of the lung in children: clinical review and results of surgery

Akin Eraslan Balci, MD*^a, Nesimi Eren, MD^a, evval Eren, MD^a, Refik Ülkü, MD^a

^a Department of Thoracic and Cardiovascular Surgery, Dicle University School of Medicine, 21280 Diyarbakir, Turkey

Accepted for publication May 13, 2002.

* Address reprint requests to Dr Balci, Department of Thoracic and Cardiovascular Surgery, Dicle University School of Medicine, 21280, Diyarbakir, Turkey
e-mail: abalci{at}dicle.edu.tr

Background. Rupture of a hydatid cyst may cause some unique problems, especially in children.

Methods. Sixty-three children with a total of 68 ruptured lung hydatid cysts were operated on between 1980 and 2000. Mean age was 12.3 years (range, 1 to 15 years). Radiographic findings were hydropneumothorax (20.6%) and air-fluid level (19%). Mean follow-up was 19.3 months.

Results. Transthoracic needle aspiration was responsible for the rupture in 3 children. The interval between cyst rupture and operation was less than 24 hours in 10 patients (15.9%), 1 to 4 days in 36 (57.1%), and more than 4 days in 17 (27%). Resection rate was 22.1%. The most frequent operative method was cystotomy and capitonnage (38%). Morbidity was 25.4% (extended air leak 5, empyema 3, bronchopleural fistula 3, atelectasis 3, pneumonia 2). Mortality was 4.7% (hemoptysis 1, pneumonia and sepsis 1, aspiration of hydatid material 1). Morbidity and mortality seem to be more frequent in late cases.

Conclusions. Early surgical intervention with single-lung ventilation and maximum parenchyma preservation are recommended.

This article has been cited by other articles:

				M N. Eren, A. E Balci, and S. Eren Non-Capitonnage Method for Surgical Treatment of Lung Hydatid Cysts Asian Cardiovasc Thorac Ann, March 1, 2005; 13(1): 20 - 23. [Abstract] [Full Text] [PDF]

				A. Kuzucu, O. Soysal, M. Ozgel, and S. Yologlu Complicated hydatid cysts of the lung: clinical and therapeutic issues Ann. Thorac. Surg., April 1, 2004; 77(4): 1200 - 1204. [Abstract] [Full Text] [PDF]