Childhood Ruptured Pulmonary Hydatid Cysts

Abstract

Objective: One of the most serious complications of pulmonary hydatid cyst is rupture of it. Post-rupture asphyxia, anaphylactic shock, acute respiratory failure and massive hemoptysis may occur. In this study, we aimed to present ruptured pulmonary hydatid cyst cases who were followed up and treated in our clinic. Method: In January January 2012-January 2021, patients between 0-18 years of age who underwent surgery for a ruptured hydatid lung cyst in our clinic were included in the study. Age, sex, complaint, cyst localization and surgical technique were evaluated. Results: In 23 (38%) of the 60 cases of hydatid lung cysts included in the study, rupture was diagnosed. Of the ruptured patients, 12 (52%) were girls and 11 (48%) were boys. The median age was 10.2 (5-17) years. The most common cause of admission was cough and fever. The most common localization was right lobe lung involvement. While capitonage was applied to six (26%) patients during the surgical procedure, 22(74%) patients did not. Lobectomy was performed in only one patient. Conclusion: Rupture is the most feared complication in pulmonary hydatid cyst. Therefore, complications that may occur after rupture of patients should be evaluated in terms of surgery in a short period of time. © Copyright Turkey Association of Pediatric Surgery.