[Diaphragmatic hydatidosis: Report of a series of 27 cases].
OBJECTIVE
To analyze the clinical, radiological and treatment of this rare disease and assess the results of surgical treatment by thoracotomy.


METHODS
In the period of 10 years (1990-1999), 27 patients (15 males and 12 females, mean age: 32,4) underwent surgical treatment for hydatid cyst of the diaphragm with or without other location. Clinical signs were chest pain and dyspnea. Diagnosis was by abdominal echography and thoracic CT in 82% of cases. Surgical treatment was given alone in 25 cases, completed by medical care in 2.


RESULTS
Diaphragmatic cyst was simple in 17 cases and complicated in 10: intrapleural rupture (4 cases), pulmonary hydatid cyst association (3 cases), hepatic cyst (2 cases) and disseminated form (1 case). Resection of the dome and pericystectomy were the used surgical procedures. Pneumothorax was the only post-operative complication (3.7%). The mortality was nil.


CONCLUSIONS
Diaphragmatic hydatidosis requires a careful topographic diagnosis between the lung, diaphragm, liver or abdominal localizations. Ultrasound and computed tomography are highly contributive. Surgery is the best treatment, thoracotomy being an excellent approach.
Kabiri
H
H
Service de Chirurgie Thoracique (Pr A. Benosman), CHU Ibn Sina, Rabat, Maroc. hassankabiri@yahoo.com
Al Aziz
S
S
El Maslout
A
A
Benosman
A
A
D000293:Adolescent; D000328:Adult; D000368:Aged; D003964:Diaphragm; D004443:Echinococcosis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D004444:Echinococcosis, Hepatic / Q000150:complications / Q000175:diagnosis; D004445:Echinococcosis, Pulmonary / Q000150:complications / Q000175:diagnosis; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013902:Radiography, Thoracic; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography