A giant cystic echinococcosis of the lung in East Turkey.

INTRODUCTION: Hydatid cyst disease is a zoonosis provoked by Echinoccocus. PRESENTATION OF CASE: 17 year old male applied to our clinic with complaints of fatigue, lassitude, right chest pain and spitting of watery expectoration proceeding in 6 months. Computed tomographic scan indicated a 130*110 mm smooth contoured cavitary lesion located in the right middle lobe of the lung. Treatment with cystotomy and capitonnage successfully. Histopathologic examination confirmed hydatid cyst. The patient recovered from all his complaints postoperatively and he was discharged from the hospital in 7 days. Albendazole was implemented for 3 months postoperatively. He was observed to be healthy in his three month follow-up visit. DISCUSSION: Pulmonary hydatid cysts are generally treated with surgery. Cystotomy and capitonnage, pericystectomy and enucleation are the commonly used surgical techniques. CONCLUSIONS: Surgery is the treatment regimen for pulmonary hydatid cysts and antihelmintic therapy is adviced to eliminate recurrences postoperatively.

A giant pulmonary cyst hydatid imitating plevral effusion.

INTRODUCTION: Cystic echinococcosis is an endemic disease in east Turkey. Echinococcosis granulosus is reported as the most common agent of cystic echinoccocus. Hydatid cysts are generally involved in lung and liver. PRESENTATION OF CASE: 37 year old female admitted to our clinic with cough and expectoration of watery material progressing within 3 months. Thorax CT demonstrated a 110*100 mm well defined cavitary lesion in the right lower lobe of the lung. The patient was treated with cystotomy & capitonnage and postoperative albendazole treatment successfully. DISCUSSION: Hydatid cysts should be conceived in differential diagnosis of pulmonary cystic lesions. CONCLUSIONS: The basic treatment for cystic echinococcosis is surgery. Postoperative antihelminthic therapy is preferred to prevent postoperative complications.

Surgical reconstruction of traumatic flail chest with titanium plaques.

INTRODUCTION: Multiple rib fractures exposes serious respiratory disorders and they are generally treated with non surgical methods. Nevertheless, in cases of long term pain despite medical treatment, parenchymal injury, hematoma, posture disorder and flail chest, surgery is needed. Flail chest, as the most critical form of blunt chest trauma, can disturb the hemodynamic of patient significantly and threaten life. This work has been reported in line with the SCARE criteria. PRESENTATION OF CASE: A 32 year old male patient referred to our hospital with flail chest in intubated status due to industrial accident. In physical examination, there was displaced dissociation in lower 1/3 of sternum and pericardium was palpated in the subcutaneus tissue. In thorax CT, there was fracture both in the right 7-8. costochondral and in the left 8. costochondral joints. Additionally, crepitation was palpated in these joints. There was flail chest in the right anterior hemithorax and in the lower sternum. Patient was treated with chest wall reconstruction with titanium plaques. DISCUSSION: In cases of flail chest, after a few days mechanical ventilation, implementing stabilization provides a rapid healing. CONCLUSIONS: We believe there is significant place of surgery for stabilization in proper cases.