Ulus Travma Acil Cerrahi Derg. 2006; 12(1): 71-75

Travmaya baðlý bir akciðer kist hidatiði rüptürü: Olgu sunumu

Ekber ÞAHÝN, Melih KAPTANOÐLU, Aydýn NADÝR, Canan CERAN
Cumhuriyet Üniversitesi Týp Fakültesi Göðüs Cerrahisi Anabilim Dalý, Sivas, Turkey.

On yaþýndaki bir kýz çocuðunda hidatik kist rüptürüne baðlý travmatik hidropnömotoraks geliþti. Hastaya þüpheli bronþial rüptüre baðlý, uzun süreli masif hava kaçaðý nedeniyle sað posterolateral torakotomi yoluyla kistotomi yapýldý. Hastanýn ameliyat sonrasý 13. ayýnda dispne ve göðüs röntgeniyle belirlenen akciðer çöküntüsü Heimlich valfi kullanýlarak tedavi edildi. Akciðer kist hidatiði komplikasyon ortaya çýkmadýkça uzun süreli asemptomatik kalabilir. Ülkemizde hidatik hastalýðýn görülme sýklýðý yüksek olduðu için, bu durum hidropnömotoraks olan hastalarda göz önüne alýnmalýdýr. Heimlich valfi kullanýmý persistan hava kaçaðýnýn tedavisinde iyi bir seçenek olabilir ve cerrahiye olan ihtiyacý azaltabilir.

Anahtar Kelimeler: Hidrotoraks/cerrahi; pnömotoraks/cerrahi; ameliyat sonrasý komplikasyon/taný; rüptür, sonradan geliþen; torakotomi; Türkiye.

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Traumatic rupture of a pulmonary hydatid cyst: a case report

Ekber ÞAHÝN, Melih KAPTANOÐLU, Aydýn NADÝR, Canan CERAN
Department of Thoracic Surgery, Medicine Faculty of Cumhuriyet University, Sivas, Turkey.

We present a case of traumatic hydropneumothorax due to hydatid cyst rupture in a 10 year-old girl. The patient was suspected to have a bronchial rupture because of prolonged massive air leak and she underwent cystotomy via right posterolateral thoracotomy. The patient was readmitted with dyspnea and chest X-ray revealed a lung collapse 13 months postoperatively. Lung collapse was treated by using a Heimlich valve.
Pulmonary hydatid cyst can be asymptomatic for a long time unless a complication occurs. Because of the high incidence of hydatid disease in our country, this condition should be considered in cases with hydropneumothorax. The use of a Heimlich valve may be a good choice in the management of persistent air leak and may reduce the need for surgery.

Keywords: Hydrothorax/surgery; pneumothorax/surgery; postoperative complications/diagnosis; rupture, spontaneous; thoracotomy; Turkey.

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