[Intrapleural rupture of pulmonary hydatid cysts].

Rev Pneumol Clin

Service de chirurgie thoracique, CHU Ibn Sina, BP 353 Rabat Principale, 10001 Rabat, Maroc; Unité de pédagogie et recherche en chirurgie thoracique, faculté de médecine et pharmacie, Rabat, Maroc.

Published: August 2014

Introduction: Intrapleural rupture of pulmonary hydatid cyst (PHC) is a rare but dangerous complication. The purpose of this study was to report the characteristics of this form of thoracic hydatidosis and analyze the favoring factors.

Materials And Methods: Between 1996 and 2011, 75 patients were operated in our department for PHC ruptured in the pleura (PHCP). The characteristics of this group were compared with those of a control group of 300 patients randomly selected from patients operated during the same period for PHC.

Results: PHCP patients were younger than controls (23 years old vs. 27,56) (P=0.03) with male predominance (70% vs. 46%) (P=0.01). The PHCP were often located in the lower lobes (64% vs. 48%) (P=0.03). Anatomic resections were more used in control group (P=0.03) whereas decortication and pleurectomy were more frequently in PHCP (P=0.001).

Conclusion: Young age, male sex, and basal locations of PHC promote their rupture in the pleura. Surgical treatment of these cysts requires less anatomic resections but more decortication and pleurectomy.

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http://dx.doi.org/10.1016/j.pneumo.2013.12.006DOI Listing

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