Spontaneous rupture of a giant diaphragmatic hydatid cyst into the intrapleural space

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Dervisoglu E., Topcu S., Liman S. T., Yilmaz A.

MEDICAL PRINCIPLES AND PRACTICE, vol.17, no.1, pp.86-88, 2008 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 17 Issue: 1
  • Publication Date: 2008
  • Doi Number: 10.1159/000109598
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.86-88
  • Kocaeli University Affiliated: Yes


Objective: We report a case of giant diaphragmatic hydatid cyst which ruptured spontaneously into the intrapleural space in a patient with coexistent giant hepatic hydatid cyst. Clinical Presentation and Intervention: A 62-year-old female was admitted for dyspnea, nausea, vomiting, and right thoracic pain. Clinical findings, laboratory and radiological examinations including multislice computed tomography scan were consistent with the diagnosis of a giant diaphragmatic hydatid cyst which ruptured into the intrapleural space. Surgical intervention was performed through thoracotomy and phrenotomy in a one- stage operation for both cysts. Conclusion: This case shows that hydatid cysts of the diaphragm can rupture into the intrapleural space spontaneously. One- stage operation through thoracotomy may be successful for the surgical intervention for diaphragmatic hydatid cysts with coexistent hepatic cyst. Copyright (c) 2007 S. Karger AG, Basel.