title: Pleuropulmonary hydatid disease treated with thoracoscopic instillation of hypertonic saline.
abstract: Hydatid disease is caused by the larval stage of the cestode, Echinococcus granulosus. Man is the intermediate host in its life cycle. The most common organ involved is liver followed by lung. Although surgery remains the definitive treatment for symptomatic lesions, it is associated with considerable morbidity. Other less invasive treatment strategies as an adjunct to medical treatment that have been tried in various case series include percutaneous aspiration, instillation and reaspiration of scolicidal agents (PAIR), and thoracoscopic removal of cysts located subpleurally. Here we report the case of a 58 year old gentleman with hepatic and pleuropulmonary hydatid disease who was subjected to medical thoracoscopy and instillation of hypertonic saline (3%), followed by medical management with albendazole with which complete resolution of the pulmonary cysts was achieved.
authors.affiliation: Institute of Chest Diseases, Medical College, Calicut., India.
authors.forename: Hari
authors.initials: H
authors.lastname: Lakshmanan P
authors.forename: Monhammed
authors.initials: M
authors.lastname: Musthafa A
authors.forename: Kp
authors.initials: K
authors.lastname: Suraj
authors.forename: C
authors.initials: C
authors.lastname: Ravidran
references.citation: Bull World Health Organ. 1996;74(3):231-42
references.pmid: 8789923
references.citation: Med J Armed Forces India. 2005 Jan;61(1):9-12
references.pmid: 27407695
references.citation: Rom J Gastroenterol. 2004 Mar;13(1):43-8
references.pmid: 15054526
references.citation: Grud Serdechnososudistaia Khir. 1990;(3):34-7
references.pmid: 2363995
references.citation: JAMA. 1985 Apr 12;253(14):2053-7
references.pmid: 3883020
references.citation: Magy Seb. 2004 Dec;57(6):358-63
references.pmid: 15803882
references.citation: J Thorac Cardiovasc Surg. 2002 Mar;123(3):492-7
references.pmid: 11882820
references.citation: Arch Iran Med. 2006 Apr;9(2):173-4
references.pmid: 16649366