Volume : VII, Issue : X, October - 2018

Pulmonary Hydatid Cyst presenting as Cystocutaneous Fistula– A Case Report

Dr. Sourabh Damani

Abstract :

Hydatid disease or echinococcosis is a zoonosis that occurs primarily in sheep grazing areas of the world but is common worldwide because dog is a definite host1. It can produce a variety of symptoms like abdominal pain, dyspepsia, vomiting, jaundice and fever. Here we present a rare case of pulmonary hydatid cyst which presented itself as a cystocutaneous fistula.

Introduction :Hydatid disease is a parasitic infestation caused by EchinococcusGranulosus characterized by cystic lesions in the liver and lungs but rarely in other parts of the body2,3. Humans contract the disease from dogs but there is no human to human transmission.1a,1b .They are diagnosed in equal numbers of men and women at an average age of 45 years 1.Approximately 75 % are located in the right liver and are solitary.1

Case Report: A 48 year old female patient from North India came with chief complain of discharge along with some solid whitish memane like thing coming out from right lower chest wall. Patient had no other complain. She keptdogs,sheeps,pigs at her farm. On examining the patient, grape like material was found to be discharging which was sent for histopathology and was diagnosed as hydatid daughter cysts. The patient was a newly detected Diabetic and started on antidiabeticmedications. Patient was started on albendazole and further workup was done.HRCT of the patient was done which showed mixed density lesion with internal multiple small cysts and with cystocutaneous fistula suggestive of hydatid cyst. There was 86x43x71 mm sized well defined lesion with peripheral calcification rim in right pleural cavity with erosion of shafts of right 5th and 6th ribs on lateral aspect.the lesion extended to 4th intercostals space in right anterior chest wall and communicated with 43x12 mm sized collection in subcutaneous plane through 38 mm long fistula . Subcutaneous collection opened through cutaneous opening in right anterior chest wall.The patient was taken to the OT and scolicidal agent was injected in the fistula tract and cyst cavity. The cyst cavity was then opened and the inner germinal memane scrapped  and the fistula tract excised . The wound was than sutured . In post op period the wound had to be reopened due to seropurulent discharge and daily dressing was done and later secondary suturing done .Patient was discharged on albendazole and antibiotics and on follow up was completely symptom free with healthy stitch line.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr. Sourabh Damani, Pulmonary Hydatid Cyst presenting as Cystocutaneous Fistula– A Case Report, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7 | Issue-10 | October-2018


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