Minimal invasive approach for Giant Pulmonary Hydatid cyst

Authors

  • Deepak Raj Singh KIST Medical College Teaching Hospital, Imadol, Lalitpur, Nepal https://orcid.org/0000-0001-8174-9619
  • Abhishek Thapa KIST Medical College Teaching Hospital, Imadol, Lalitpur, Nepal
  • Mahipendra Tiwari KIST Medical College Teaching Hospital, Imadol, Lalitpur, Nepal

DOI:

https://doi.org/10.3126/jssn.v24i2.42838

Keywords:

Hydatid cyst, Minimal invasive, Pulmonary

Abstract

Hydatid cyst is a major health problem in agricultural countries caused by larval stage of Echinococcus granulosus. Hydatid cysts of 10 cm or greater in diameter are called “giant” cysts and traditionally have been considered to be more difficult to treat surgically.

A 30 year male presented with complaints of cough and chest pain for three days and a CECT chest suggesting lung abscess. When thoroughly evaluated with bedside ultrasound, it was revealed to be a case of giant Hydatid cyst. The patient underwent cystostomy with closure of bronchial opening with capitonnage with minimal invasive approach (VATS assisted minithoracotomy).

Even Giant Hydatid cyst can be managed with VATS, avoiding formal thoracotomy. Preoperative sonoscopy can localize the exact site for port placement and guide the surgeons on the operation table.

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Author Biographies

Deepak Raj Singh, KIST Medical College Teaching Hospital, Imadol, Lalitpur, Nepal

Department of Surgery

Abhishek Thapa, KIST Medical College Teaching Hospital, Imadol, Lalitpur, Nepal

Department of Surgery

Mahipendra Tiwari, KIST Medical College Teaching Hospital, Imadol, Lalitpur, Nepal

Department of Surgery

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Published

2021-12-31

How to Cite

Singh, D. R., Thapa, A., & Tiwari, M. (2021). Minimal invasive approach for Giant Pulmonary Hydatid cyst. Journal of Society of Surgeons of Nepal, 24(2), 67–70. https://doi.org/10.3126/jssn.v24i2.42838

Issue

Section

Case Reports