A lung hydatid cyst that was missed on a chest radiograph

Abstract

Lung hydatid cysts is easy to diagnose and can be treated with a simple surgical procedure. In lung hydatid cysts, conventional radiographic examinations are generally sufficient for the diagnosis of the disease. A 23-year-old female patient was admitted with complaints of left-sided pain, cough, and clear fluid with a bitter taste in the mouth that came with coughing. A giant cystic lesion was seen on chest radiography and thorax computed tomography (CT). In the external center radiological imaging of the patient examined through the system, it was seen that the cystic lesion was smaller in size and well-circumscribed in the chest radiograph taken 4 years ago. It was determined that the lesion was not noticed at that time, the existing lesion grew over the years and the diagnosis was delayed. Based on the findings, ruptured lung hydatid cyst was considered. The patient underwent cystotomy and capitonnage through a left thoracotomy. Correct interpretation of radiological imaging methods used in the diagnosis of hydatid cyst is of great importance to prevent serious complications.

Keywords

• Hydatid cyst
• Chest radiograph
• Ruptured
• Complicated lung cysts
• Surgery

Supporting Institution

None

References

1. Işıtmangil T, Görür R,Yiğit N, Erdik O, Yıldızhan A,Candaş F, Sebit Ş, Tunç H, Selçuk S, Kunter E. Toraksta kist hidatik hastalığı nedeniyle cerrahi tedavi uygulanan 308 hastanın değerlendirilmesi. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2010; 18(1): 27 - 33.
2. Morar R, Feldman C. Pulmonary echinococosis. Eur Respir J. 2003;21:1069-77.
3. Halezeroglu S, Celik M, Uysal A, Senol C, Keles M, Arman B. Giant Hydatid cysts of the lung. J Thorac Cardiovasc Surg 1997;113:712-7.
4. Aydin Y, Ulas AB, Eroglu A. Diagnosis of a hepatic hydatid cyst using posteroanterior chest radiography. Rev Soc Bras Med Trop. 2022;55:e0205-2022.
5. Çelik M, Koç M, Berçin S, Demir H, Özercan R. Maligniteyi taklit eden rüptüre akciğer kist hidatik olgusu. Fırat Tıp Dergisi. 2015; 20(1): 63 - 66.
6. Varela A, Burgos R, Castedo E. Parasitic diseases of the lung and pleura. In: Patterson GA, Cooper JD, Deslauriers J, editors. Pearson’s thoracic & esophageal surgery, 3rd ed. Philadelphia: Churchill Livingstone; 2008. p. 550-65.