title: [Hydatic pulmonary embolism: a rare complication of hepatic hydatid cyst].
abstract: Hepato-pulmonary hydatidosis is a parasitic disease common in Mediterranean countries. Hydatid pulmonary embolism is extremely rare and is due to rupture of a cardiac hydatid cyst or, more rarely, rupture of a hepatic hydatid cyst. We report three cases of hydatid pulmonary embolism secondary to rupture of a hydatid cyst into the inferior vena cava. Thoracic imaging, mainly CT angiography and MRI, was important for both the diagnosis and decisions on treatment. The prognosis of intra-arterial pulmonary hydatid cyst is poor because of the risk of acute fatal complications such as anaphylactic shock and vascular rupture and also of chronic progression to cor pulmonale and respiratory failure. The therapeutic management is difficult and often only partially effective hence the importance of focusing on preventative treatment.
authors.affiliation: Service de pneumologie, CHU Hassan II, BP 5552, 30006 Fès Sidi Brahim, Fès, Maroc. moonserraj@yahoo.fr
authors.forename: M
authors.initials: M
authors.lastname: Serraj
authors.forename: M
authors.initials: M
authors.lastname: Smahi
authors.forename: I
authors.initials: I
authors.lastname: Kamaoui
authors.forename: A
authors.initials: A
authors.lastname: El Houari
authors.forename: F
authors.initials: F
authors.lastname: Sahnoune
authors.forename: Y
authors.initials: Y
authors.lastname: Ouadnouni
authors.forename: B
authors.initials: B
authors.lastname: Amara
authors.forename: M
authors.initials: M
authors.lastname: El Biaze
authors.forename: S
authors.initials: S
authors.lastname: Tizniti
authors.forename: M C
authors.initials: MC
authors.lastname: Benjelloun
mesh_terms: D000328:Adult; D015766:Albendazole / Q000627:therapeutic use; D000871:Anthelmintics / Q000627:therapeutic use; D003131:Combined Modality Therapy; D004444:Echinococcosis, Hepatic / Q000150:complications* / Q000188:drug therapy / Q000601:surgery; D004445:Echinococcosis, Pulmonary / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy; D004630:Emergencies; D005260:Female; D006469:Hemoptysis / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011651:Pulmonary Artery / Q000469:parasitology; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000209:etiology* / Q000469:parasitology; D012008:Recurrence; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed; D014682:Vena Cava, Inferior
chemical_list: D000871:Anthelmintics; D015766:Albendazole