Table 1 Patient’s clinical, radiological and surgical records
From: Intra thoracic extra pulmonary hydatidosis: prognosis and outcomes of 8 operated patients
Patients | Age (years), gender | Antecedents | Symptomatology | Location and appearance on radiology | Serology | Surgical procedure | Evolution, complications |
|---|---|---|---|---|---|---|---|
Patient 1 | 19, man | Rural origin | Chest pain, cough, dyspnea | Pleural: Enormous hydatid lesion of the left pleural cavity, with pulmonary passive atelectasis | Negative | Total excision under posterolateral thoracotomy with pulmonary decortication | Discharged à J6 postopératif day No recurrence after 3 years |
Patient 2 | 26, man | Rural origin | Left chest and back pain, lower limb paresthesia | Costo-vertebral: Cystic-like formation with fluid content and multiple vesicles; occupying the left costovertebral angle with lysis of the posterior arch of the 7th, 8th and 9th ribs., with foraminal extension D7-D8, with spinal cord compression (Fig. 3) | Positive | Monobloc resection of the cyst and posterior arches of 4 ribs and vertebral bodies of D8-9 with osteosynthesis of the spine under à large posterolateral thoracotomy | Pleurocutaneos fistula, with disabling parietal and neurological pain and a disorder of the statics of the shoulder girdle No reccurence of hydatid disease after 2 years |
Patient 3 | 42, woman | Operated for liver hydatid cyst | Chest pain, dyspnea | Parietal: multiple right parietal and diaphragmatic cystic lesions | Not done | Total excision of all the cyst under à posterolateral thoracotomy | No complications and no recurrence after 1 year |
Patient 4 | 32, woman | Operated for liver hydatid cyst | Left back and chest pain, dyspnea | Costo-vertebral: left postero-basal multi-vesicular cyst of the costovertebral splint at the expense of the 7th and 8th ribs with costal lysis | Positive | Total excision of the cyst and affected ribs without parietal prosthesis under a posterolateral thoracotomy | No recuernce and no complications |
Patient 5 | 28, man | Operated for liver and pulmonary hydatids cysts | Chest pain, dyspnea | Costal: right latero-basal thoracic cyst, with invasion of the soft tissues opposite and lysis of the lateral arch of the 8th rib, without extension to the liver (Fig. 1) | Not done | Total excision of the cyst and affected ribs without parietal prosthesis under a direct approach | No recuernce and no complications |
Patient 6 | 57, man | Rural origin | Chest pain, parietal swelling | Costal: right large circumscribed hypo dense mass localized between the 6th and 7th rib, adherent to the lung causing destruction of the ribs with scarce micro calcifications | Positive | Total excision of the cyst and affected ribs without parietal prosthesis under a posterolateral thoracotomy | No recurrence, no complications |
Patient 7 | 57, man | Operated for liver hydatid cyst | Palpitations, dyspnea | Pericardial: pericardial right hydatid lesion without involvement of the atrial wall (Fig. 2) | positive | Total excision of the cyst and the affected pericardic without paericardic pach under an anterior thoracotomy | No complications, no recurence |
Patient 8 | 63, woman | Operated for liver and pulmonary hydatid cyst | Chest pain | Costal: well-limited cystic mass in the pleural cavity opposite the right upper lobe, measuring 50 mm in length, invading the posterior arch of the 4th, 5th and 6th sides and the 4th intercostal space | Not done | Total excision of the cyst under a posterolateral thoracotomy | Accidental peropérative lésiosn of subclavier artery |