Five clinical forms of intrathoracic complications of hepatic Echinococcosis were distinguished on the basis of examination of 115 patients with hepatic Echinococcosis. They were: bilio-bronchial, hepato-pleural, hepato-pleuro-bronchial, hepato-pulmonary and hepato-mediastinal form found in 15 patients (13%). The intrathoracic complications must be treated surgically, cases with bilio-bronchial complications requiring emergent operative interventions. Thoracodiaphragmatomy is thought to be the optimal access.
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