Subacute Management of Ruptured Lung Hydatid Cysts in Pediatrics
Journal Title: Journal of Surgery Research and Practice - Year 2022, Vol 3, Issue 1
Abstract
Background: The aim of this observational, retrospective study was to review and describe clinical presentations and subacute management of patients with complicated Pulmonary Hydatid Cysts (PHC) and its outcome. Cases Preview: Six patients, suffering from 10 lung hydatid cysts, with a mean age of 10 years (3-15) year old, of these six patients, there were three males and three females, the most common presentation was ruptured hydatid cyst in four of the cases, all of them were associated with liver hydatid cysts, there were no other organ involvement, the cysts size was ranging from 2.5-10 cm, with mean size of 5 cm. The presenting symptoms were fever, dry cough, shortness of breath, chest pain on the affected side, hemoptysis, recurrent chest infection, hematemesis and vomiting, we didn’t witness any anaphylactic episodes in our study. All the patients were managed surgically after stabilization period range from 2 days- 2 months, there were no intra or post-operative complications, patients were extubated on day 1 post op and the patients were discharged on day 5-8 post-operative on albendazole, with no mortality. Conclusion: The subacute management of ruptured hydatid cyst results were promising in terms of minimal intra and post-operative complications if presented at all, shorter hospital stay and rapid return to daily activities, early extubation with no need to mechanical ventilation, with no need to rush for an urgent surgery with unstable patient with it’s possible complications, this approach was safe, reliable and successful.
Authors and Affiliations
Salma Abed Samamqa, Ali Khalid Salah, Shaimaa Awawdeh, Amer Y AbuRumaila, Mohammad Eid Al Mohtasib, Yousef Abu Asbeh
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