Bronchoscopic Extraction of a Hydatid Membrane in a 26-Year-Old Woman with Recurrent Pneumonia

AUTHORS

A Alavi 1 , * , M Aghajanzadeh 2 , G Mortaz Hejri 2

1 Assistant Professor of Department of Pulmonology, Pulmonary Diseases and TB Research Center, Razi Hospital, Guilan University Medical Sciences, [email protected], Guilan, Iran

2 Department of Thoracic Surgery, Guilan University of Medical Sciences, Razi Hospital, Guilan, Iran

How to Cite: Alavi A, Aghajanzadeh M, Mortaz Hejri G. Bronchoscopic Extraction of a Hydatid Membrane in a 26-Year-Old Woman with Recurrent Pneumonia, Iran Red Crescent Med J. Online ahead of Print ; 12(1):47.

ARTICLE INFORMATION

Iranian Red Crescent Medical Journal: 12 (1); 68-70
Article Type: Case Report
Received: July 20, 2009
Accepted: October 9, 2009

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Abstract

Cystic echinococcosis is a publichealth problem in endemic areas. Recurrent pneumonia is a rare complication of ruptured hydatid cysts of the lung. We report a 26-year-old lady with a recurrent right lower lobe (RLL) pneumonia. Her CXR and chest CT scan revealed involvement of RLL. In her history, it was revealed that she had undergone a surgery for liver hydatid cyst two years ago.

During fiberoptic bronchoscopy (FOB) for unresolved pneumonia, we extracted the whitish-yellow bright gelatinous membrane obstructing the orifice of the posterior basal segment of RLL. A follow-up CT scan done six months later revealed clearance of RLL opacity and pleural effusion. Although treatment of pulmonary hydatid cyst by FOB is an exceptional event, our exceptional case illustrates a complete treatment without any further need for a thoracic surgical procedure which could have many complications and even morbidity.

 

Keywords

Pulmonary hydatid cyst Fiberoptic bronchoscopy Recurrent pneumonia

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