Spontaneous rupture of a giant diaphragmatic hydatid cyst into the intrapleural space.
OBJECTIVE
We report a case of giant diaphragmatic hydatid cyst which ruptured spontaneously into the intrapleural space in a patient with coexistent giant hepatic hydatid cyst.


METHODS
A 62-year-old female was admitted for dyspnea, nausea, vomiting, and right thoracic pain. Clinical findings, laboratory and radiological examinations including multislice computed tomography scan were consistent with the diagnosis of a giant diaphragmatic hydatid cyst which ruptured into the intrapleural space. Surgical intervention was performed through thoracotomy and phrenotomy in a one-stage operation for both cysts.


CONCLUSIONS
This case shows that hydatid cysts of the diaphragm can rupture into the intrapleural space spontaneously. One-stage operation through thoracotomy may be successful for the surgical intervention for diaphragmatic hydatid cysts with coexistent hepatic cyst.
Dervisoglu
Erkan
E
Department of Internal Medicine (Division of Nephrology), Faculty of Medicine, Kocaeli University, Kocaeli, Turkey. dervisoglue@yahoo.com
Topcu
Salih
S
Liman
Serife Tuba
ST
Yilmaz
Ahmet
A
D003964:Diaphragm; D004443:Echinococcosis / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D004444:Echinococcosis, Hepatic / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D035422:Pleural Cavity; D012422:Rupture, Spontaneous / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D016896:Treatment Outcome