title: [Intrapleural rupture of pulmonary hydatid cysts].
abstract: BACKGROUND
  Intrapleural rupture of pulmonary hydatid cyst (PHC) is a rare but dangerous complication. The purpose of this study was to report the characteristics of this form of thoracic hydatidosis and analyze the favoring factors.
  
  
  METHODS
  Between 1996 and 2011, 75 patients were operated in our department for PHC ruptured in the pleura (PHCP). The characteristics of this group were compared with those of a control group of 300 patients randomly selected from patients operated during the same period for PHC.
  
  
  RESULTS
  PHCP patients were younger than controls (23 years old vs. 27,56) (P=0.03) with male predominance (70% vs. 46%) (P=0.01). The PHCP were often located in the lower lobes (64% vs. 48%) (P=0.03). Anatomic resections were more used in control group (P=0.03) whereas decortication and pleurectomy were more frequently in PHCP (P=0.001).
  
  
  CONCLUSIONS
  Young age, male sex, and basal locations of PHC promote their rupture in the pleura. Surgical treatment of these cysts requires less anatomic resections but more decortication and pleurectomy.
authors.affiliation: Service de chirurgie thoracique, CHU Ibn Sina, BP 353 Rabat Principale, 10001 Rabat, Maroc; Unité de pédagogie et recherche en chirurgie thoracique, faculté de médecine et pharmacie, Rabat, Maroc. Electronic address: m.bouchikh@um5s.net.ma.
authors.forename: M
authors.initials: M
authors.lastname: Bouchikh
authors.affiliation: Service de chirurgie thoracique, CHU Ibn Sina, BP 353 Rabat Principale, 10001 Rabat, Maroc; Unité de pédagogie et recherche en chirurgie thoracique, faculté de médecine et pharmacie, Rabat, Maroc.
authors.forename: A
authors.initials: A
authors.lastname: Achir
authors.affiliation: Service de chirurgie thoracique, CHU Ibn Sina, BP 353 Rabat Principale, 10001 Rabat, Maroc.
authors.forename: M
authors.initials: M
authors.lastname: Maidi
authors.affiliation: Service de chirurgie thoracique, CHU Ibn Sina, BP 353 Rabat Principale, 10001 Rabat, Maroc.
authors.forename: F
authors.initials: F
authors.lastname: Ouchen
authors.affiliation: Service de chirurgie thoracique, CHU Ibn Sina, BP 353 Rabat Principale, 10001 Rabat, Maroc.
authors.forename: H
authors.initials: H
authors.lastname: Fenane
authors.affiliation: Service de chirurgie thoracique, CHU Ibn Sina, BP 353 Rabat Principale, 10001 Rabat, Maroc; Unité de pédagogie et recherche en chirurgie thoracique, faculté de médecine et pharmacie, Rabat, Maroc.
authors.forename: A
authors.initials: A
authors.lastname: Benosman
mesh_terms: D000328:Adult; D015766:Albendazole / Q000627:therapeutic use; D000871:Anthelmintics / Q000627:therapeutic use; D016022:Case-Control Studies; D004445:Echinococcosis, Pulmonary / Q000150:complications / Q000000981:diagnostic imaging / Q000453:epidemiology* / Q000628:therapy; D005260:Female; D006801:Humans; D006872:Hydropneumothorax / Q000150:complications / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000628:therapy; D008297:Male; D010995:Pleural Diseases / Q000000981:diagnostic imaging / Q000453:epidemiology* / Q000209:etiology / Q000628:therapy; D011013:Pneumonectomy / Q000379:methods; D011859:Radiography; D012422:Rupture, Spontaneous; D055815:Young Adult
chemical_list: D000871:Anthelmintics; D015766:Albendazole
keywords: Decortication; Décortication; Hydatid cyst; Hydatidose; Hydatidosis; Hydropneumothorax; Hydropnuemothorax; Kyste hydatique; Pleura; Plèvre