title: [Outcomes after thoracotomy for intra-abdominal hydatid cysts ruptured into the thorax (a 160 case series)].
abstract: BACKGROUND
  The purpose of this study was to assess the results of the surgical treatment of abdominal hydatid cysts ruptured in the thorax.
  
  
  METHODS
  We collected data from 160 patients who experienced the intra-thoracic rupture of an abdominal hydatid cyst during the period 1997 - 2008: 158 located in the liver, one in the spleen and one in the kidney, which had been treated surgically in a single centre. Diagnosis was based on a history of surgery for abdominal hydatid cysts, specific symptoms including biliptysis (40% of the cases) and expectoration of hydatid cysts, as well as radiological findings (chest x-ray; abdominal ultrasound and CT-scan). All patients were operated on through a thoracotomy.
  
  
  RESULTS
  In-hospital mortality was 7.5%. Postoperative complications occurred in 16% and mainly consisted of pleural and pulmonary disorders.
  
  
  CONCLUSIONS
  Thoracotomy offers simultaneous and adequate access to address thoracic and abdominal injuries with a reasonable mortality and morbidity in patients with this condition.
authors.affiliation: Service de chirurgie thoracique, hôpital Ibn Sina, CHU de Rabat, Rabat, Maroc. msougar@hotmail.com
authors.forename: Y
authors.initials: Y
authors.lastname: Msougar
authors.forename: M
authors.initials: M
authors.lastname: Lakranbi
authors.forename: M
authors.initials: M
authors.lastname: Bouchikh
authors.forename: Y
authors.initials: Y
authors.lastname: Ouadnouni
authors.forename: M
authors.initials: M
authors.lastname: Maidi
authors.forename: H
authors.initials: H
authors.lastname: Fenan
authors.forename: M
authors.initials: M
authors.lastname: Smahi
authors.forename: A
authors.initials: A
authors.lastname: Achir
authors.forename: M
authors.initials: M
authors.lastname: Caidi
authors.forename: L
authors.initials: L
authors.lastname: Herrak
authors.forename: A
authors.initials: A
authors.lastname: Alaziz
authors.forename: A
authors.initials: A
authors.lastname: Benosman
mesh_terms: D000005:Abdomen; D000328:Adult; D004443:Echinococcosis / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D012421:Rupture; D013908:Thoracotomy; D013909:Thorax; D016896:Treatment Outcome