title: [Hydatid cysts of the liver ruptured into the thorax (about five cases)].
abstract: BACKGROUND
  Hydatid cyst of the liver remains a serious public health problem in Tunisia. This benign affection can sometimes cause fatal complications such as cyst rupture into the thorax.
  
  
  METHODS
  We report 5 cases of patients who experienced intrathoracic rupture of hydatic cyst of liver. There were four rural women and an urban man. Patients were between 60 and 75 years of age. We present 2 cases of cyst rupture into pleura, 3 cases of hydatid bronchial fistula and 3 cases of biliothoracic fistulas. Surgical treatment was performed by laparotomy in 3 cases, thoracic approach in one case and by thoracoabdominal approach in the other case. We deplore one case of early death by hemorrhagic shock.
  
  
  CONCLUSIONS
  Authors emphasize the complexity of the management of hydatic cyst of liver ruptured into the thorax. Surgical treatment remains responsible of high perioperative morbidity and mortality. Early diagnostic and improvement of reanimation measures are important to improve the prognosis of this serious complication.
authors.affiliation: Service de pneumologie, CHU Hédi Chaker, faculté de médecine, route Al-Ain Km 0,5, 3029 Sfax, Tunisie. Electronic address: msaadsameh@yahoo.fr.
authors.forename: S
authors.initials: S
authors.lastname: Msaad
authors.affiliation: Service de pneumologie, CHU Hédi Chaker, faculté de médecine, route Al-Ain Km 0,5, 3029 Sfax, Tunisie.
authors.forename: I
authors.initials: I
authors.lastname: Yangui
authors.affiliation: Service de pneumologie, CHU Hédi Chaker, faculté de médecine, route Al-Ain Km 0,5, 3029 Sfax, Tunisie.
authors.forename: W
authors.initials: W
authors.lastname: Ketata
authors.affiliation: Service de pneumologie, CHU Hédi Chaker, faculté de médecine, route Al-Ain Km 0,5, 3029 Sfax, Tunisie.
authors.forename: N
authors.initials: N
authors.lastname: Abid
authors.affiliation: Service de pneumologie, CHU Hédi Chaker, faculté de médecine, route Al-Ain Km 0,5, 3029 Sfax, Tunisie.
authors.forename: W
authors.initials: W
authors.lastname: Feki
authors.affiliation: Service de radiologie, CHU Habib Bourguiba, faculté de médecine, Sfax, Tunisie.
authors.forename: H
authors.initials: H
authors.lastname: Abid
authors.affiliation: Service de chirurgie thoracique, CHU Habib Bourguiba, faculté de médecine, Sfax, Tunisie.
authors.forename: A
authors.initials: A
authors.lastname: Hentati
authors.affiliation: Service de pneumologie, CHU Hédi Chaker, faculté de médecine, route Al-Ain Km 0,5, 3029 Sfax, Tunisie.
authors.forename: S
authors.initials: S
authors.lastname: Kammoun
mesh_terms: D000368:Aged; D001983:Bronchial Fistula / Q000469:parasitology*; D004444:Echinococcosis, Hepatic / Q000150:complications*; D005260:Female; D005402:Fistula / Q000469:parasitology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012422:Rupture, Spontaneous; D012424:Rural Population; D013909:Thorax / Q000469:parasitology*
keywords: Complication; Foie; Hydatid cyst; Kyste hydatique; Liver; Thorax