Ruptured Hydatid Cyst diagnosed by Bronchoscopy in a young patient with Hemoptysis

Pushpendra Kumar Verma, Naresh Kumar, Paras Kathuria

Abstract


A 31- year old male patient of Nepalese origin presented with sudden onset of hemoptysis and mild chest discomfort. The chest radiograph of the patient showed a soft tissue density in the right lower zone and computerized tomography of the chest showed a rounded opacity with fluid density within the right lower lobe. Bronchoscopy showed gelatinous, white membrane- like structures extruding from the posterior basal segment of the right lower lobe. The membranes were sucked out partially and histologic examination showed laminated membranes suggestive of hydatid cyst. Patient also went for surgery and was treated with albendazole for 3 months. Hence, bronchoscopy can be a valuable aid in the diagnosis of a ruptured hydatid cyst of the lung.


Keywords


Echinococcus granulosus, Hydatid cyst, lung, Hemoptysis, Bronchoscopy

Full Text:

PDF

References


References

Ammann RW, Eckert J. Cestodes. Echinococcus. Gastroenterol Clin North Am 1996; 25(3): 655-89.

Kammerer WS, Schantz PM. Echinococcal disease. Infect Dis Clin North Am 1993; 7: 605–618.

Thumler J, Munoz A. Pulmonary and hepatic echinococcosis in children. Pediatr Radiol 1978; 7: 164–171.

Kaur M, Singh R Ruptured Pulmonary Hydatid Cyst:The Camalote Sign Indian J ClinPrac 2013; 23(12): 856-858.

Shah DS, Parikh H, Shah b et al. Imaging Appereances Of Hydatid Cyst. Ind J Radiol Imag 2006; 16(4):533-535.

Gupta D, Agrawal PN, Aggarwal A. Bronchoscopic diagnosis of pulmonary hydatidosis in patients with unusual roentgenologic appearance. J Bronchol 2001; 8: 101-103.

Köksal D, Altinok T, Kocaman Y et al. Bronchoscopic diagnosis of ruptured pulmonary hydatid cyst presenting as nonresolving pneumonia: report of two patients. Lung 2004; 182(6): 363-8.

Deshmukh VS, Athavale AU, Bhaskar MA. Bronchoscopy in pulmonary hydatidosis: retrospective analysis. J Bronchology Interv Pulmonol 2009; 16: 172-175.

Koul PA, Khan UH. Bronchoscopic diagnosis of ruptured hydatid cyst in a young male with hemoptysis. J Bronchology Interv Pulmonol 2011; 18:61-4.

Oztek I, Baloglu H, Demirel D et al. Cytologic diagnosis of complicated pulmonary unilocular cystic hydatidosis. A study of 131 cases. Acta Cytol 1997; 41(4): 1159-66.


Refbacks

  • There are currently no refbacks.


Copyright (c)