Ruptured hydatid cyst in the right thorax: differential diagnosis to pleural empyema.
We present a case of a hydatid cyst (Echinococcus granulosus) rupturing into the right pleural cavity. Clinical and radiological findings were consistent with a pleural effusion caused by pneumonia and led primarily to a wrong diagnosis. Pleural fluid analysis was suspicious for parapneumonic pleural empyema. After thoracoscopy led to the correct diagnosis a combined surgical and chemotherapy approach achieved complete remission.
Pfefferkorn
U
U
Department of Surgery, Bürgerspital Solothurn, Solothurn, Switzerland. upfefferkorn@uhbs.ch
Viehl
C T
CT
Barras
J-P
JP
D017024:Chemotherapy, Adjuvant; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D004322:Drainage / Q000379:methods; D004445:Echinococcosis, Pulmonary / Q000175:diagnosis* / Q000628:therapy; D016724:Empyema, Pleural / Q000175:diagnosis* / Q000628:therapy; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010996:Pleural Effusion / Q000175:diagnosis / Q000628:therapy; D018570:Risk Assessment; D012422:Rupture, Spontaneous / Q000175:diagnosis / Q000628:therapy; D013906:Thoracoscopy / Q000379:methods; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome