[Extra-pulmonary thoracic hydatid cysts].
OBJECTIVE
To report our experience in the management of intra-thoracic extra-pulmonary hydatid cyst, and to discuss the etio-pathogeny of this affection.


METHODS
Among 80 patients who underwent surgery in our department for intra-thoracic hydatid cysts between September 2001 and September 2005, six patients (7.5%) had an extra-pulmonary localization. There were 4 men and 2 women with a mean age of 43 years. The lesions were pleural, diaphragmatic or mediastinal. Thoracotomy was performed in all patients.


RESULTS
One patient had multiple localizations (diaphragm, anterior mediastinum and pleura). The cyst was simple in 5 cases and complicated (rupture) in one case. The diagnosis of hydatid cyst was suspected on the basis of the radiological data and confirmed intra-operatively. No complications or recurrences were observed during the follow-up period.


CONCLUSIONS
Intra-thoracic extra-pulmonary hydatid cyst is uncommon even in endemic countries such as Morocco. Surgery is the best treatment and must be proposed early in order to prevent complications. Medical treatment is reserved for complicated forms.
Zidane
A
A
Service de Chirurgie Thoracique, Hôpital Militaire d'Instruction Mohamed-V, 10100 Rabat, Maroc.
Arsalane
A
A
Atoini
F
F
Kabiri
E H
EH
D000328:Adult; D003964:Diaphragm / Q000000981:diagnostic imaging / Q000601:surgery; D004443:Echinococcosis / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008477:Mediastinal Diseases / Q000000981:diagnostic imaging / Q000469:parasitology* / Q000601:surgery; D010995:Pleural Diseases / Q000000981:diagnostic imaging / Q000469:parasitology* / Q000601:surgery; D011859:Radiography; D012189:Retrospective Studies; D013908:Thoracotomy; D016896:Treatment Outcome