DEATH DUE TO UNDIAGNOSED PULMONARY HYDATID CYST: CASE REPORT

Abstract

Hydatid disease is a parasitosis and is endemic in many sheeprearing regions in the world especially in the Middle East and the Mediterranean countries. As a result of spontaneous rupture of the hydatid cysts into the peritoneum or pulmonary region serious morbidity and mortality may occur. A 48-year-old woman was admitted to the emergency room of the State Hospital with complaints of respiratory distress; on the same day, after starting the administration of medical treatment, she was taken to the emergency service again with vomiting blood and died in the emergency room. Autopsy of the case was performed in Erzurum Regional Center of the Council of Forensic Medicine. During post-mortem examination a large cyst (10x5x4cm) in the right lung without any daughter vesicle was detected. Sharing the retrospective data obtained from medico-legal autopsies with clinical branches is important. As a result of such sharings, the data obtained from medico-legal autopsies of the cases clinically undiagnosed but diagnosed during the medicolegal autopsy are thought to contribute the improvement of diagnosis and treatment viewpoints in clinical branches. The aim of our case presentation is to provide this sharing

Keywords

• Pulmonary hydatid cyst
• Medico-legal autopsy
• Undiagnosed

References

1. Eckert J, Deplazes P. Biological, epidemiological, and clinical aspects of echinococcosis, a zoonosis of increasing concern. Clin Microbiol Rev 2004;17:107-35.
2. Erdogmus B, Yazici B, Akcan Y, Ozdere BA, Korkmaz U, Alcelik A. Latent fatality due to hydatid cyst rupture after a severe cough episode. Tohoku J Exp Med 2005;205:293-6.
3. Sayek I, Yalin R, Sanac Y. Surgical treatment of hydatid disease of the liver. Arch Surg 1980;115:847-50.
4. Altintas N. Cystic and alveolar echinococcosis in Turkey. Ann Trop Med Parasitol 1998;92:637-42
5. Dhaliwal RS, Kalkat MS. One-stage surgical procedure for bilateral lung and liver cysts. Ann Thorac Surg 1997;64:338–41.
6. Topcu S, Kurul IC, Tastepe I, Bozkurt D, Guhan E, Cetin G. Surgical treatment of pulmonary hydatid cysts in children. J Thorac Cardiovasc Surg 2000; 120:1097–101.
7. Kantarci M, Onbas O, Alper F, Celebi Y, Yigiter M, Okur A. Anaphylaxis due to a rupture of hydatid cyst: imaging findings of a 10-year-old boy. Emerg Radiol 2003; 10:49- 50.
8. Karakaya K. Spontaneous rupture of a hepatic hydatid cyst into the peritoneum causing only mild abdominal pain: A case report. World J Gastroenterol 2007 February 7;13(5):806-8.

9. Yagci G, Ustunsoz B, Kaymakcioglu N, Bozlar U, Gorgulu S, Simsek A, Akdeniz A, Cetiner S, Tufan T. Results of surgical, laparoscopic, and percutaneous treatment for hydatid disease of the liver: 10 years experience with 355 patients. World J Surg 2005;29:1670-9.
10. Hatipoglu AR, Coskun I, Karakaya K, Ibis C. Retroperitoneal localization of hydatid cyst disease. Hepatogastroenterology 2001;48:1037-9.
11. Schwartz SI. Liver. In: Schwartz SI, Shires GT, Spencer FC, Daly JM, Fischer JE, Galloway AC, eds. Principles of Surgery. International Edition: McGraw-Hill Book Company, 1999:1403-5.
12. Oku Y, Malgor R, Benavidez U, Carmona C, Kamiya H. Control program against hydatidosis and the decreased prevalence in Uruguay. International Congress Series 1267;2004:98-104.
13. Derici H, Tansug T, Reyhan E, Bozdag AD, Nazli O. Acute intraperitoneal rupture of hydatid cysts. World J Surg 2006;30:1879- 85.
14. Topcu S, Kurul CI, Altinok T, Yazici U, Demir A. Giant hydatid cysts of Lung and liver. Ann Thorac Surg 2003;75:292–4.
15. Dogan R, Yuksel M, Cetin G, et al. Surgical treatment of hydatid cysts of the lung: report on 1055 patients. Thorax 1989;44:192–9.
16. Langer B, Gallinger S. Cystic Disease of The Liver. In: Zuidema GD, Turcotte JG, eds. Shackelford’s Surgery of the Alimentary Tract. Philadelphia, London, Toronto, Montreal, Sydney, Tokyo: WB Saunders Company, 1996:531-40.
17. Akyıldız EÜ, Yılmazer Ö, Üzün İ, Süner Ç, Pakiş I, Akçay Turan A, Karayel F, Çelik S. Adli otopsilerde saptanan hidatik kistler. Adli Tıp Dergisi 2006;20(2):30-4.