[Arterial complications of hydatic disease].
We report two cases of hydatic cyst with rupture into the aorta in two young patients cared for at the Ibn Sina hospital in Rabat, Morocco. In the first patient, a false hydatic aneurysm of the descending thoracic aorta was discovered at surgery performed for suspected hydatic cyst of the lower lobe of the left lung. Despite reconstruction with a prosthetic graft, the patient died peroperatively due to exsanguination via uncontrollable bleeding through the aneurysmal sac. The second case was a 20-year-old woman whose false hydatic aneurysm of the thoracoabdominal aorta was disclosed by embolic ischemia of the lower limbs. Aorto-aortic reconstruction was followed by medical treatment with albendazol. During follow-up, the patient developed a hydatic cyst of the kidney and a parietal cyst. Both were treated surgically. An analysis of these two cases and 9 others reported in the literature concerning arterial involvement in hydatic disease revealed the characteristic clinical, radiological and therapeutic features of this rare but serious complication.
Mayoussi
C
C
Clinique de chirurgie D, Hôpital Ibn Sina, Rabat, Maroc.
El Mesnaoui
A
A
Lekehal
B
B
Sefiani
Y
Y
Benosman
A
A
Bensaid
Y
Y
D000328:Adult; D017541:Aneurysm, False / Q000150:complications* / Q000175:diagnosis; D000792:Angiography; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000175:diagnosis; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000175:diagnosis; D001027:Aortography; D004443:Echinococcosis / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D014057:Tomography, X-Ray Computed