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VOLUME 11 , ISSUE 2 ( April-June, 2022 ) > List of Articles

CASE REPORT

A Case of Un-ruptured Hepatic Hydatid Cyst: A Rare Cause of Eosinophilic Pleural Effusion

Sunil Kumar, Jimit Nitin Mistry, Sheena Taneja, Manish Advani

Keywords : Echinococcus, eosinophilic effusion, hydatid cyst

Citation Information : Kumar S, Mistry JN, Taneja S, Advani M. A Case of Un-ruptured Hepatic Hydatid Cyst: A Rare Cause of Eosinophilic Pleural Effusion. Indian J Respir Care 2022; 11 (2):187-189.

DOI: 10.4103/ijrc.ijrc_19_22

License: CC BY-NC-SA 4.0

Published Online: 06-12-2022

Copyright Statement:  Copyright © 2022; Indian Journal of Respiratory Care.


Abstract

Cystic echinococcosis in humans is caused by incidental ingestion of water or food contaminated by embryonated eggs of Echinococcus granulosus. Pleural involvement in hydatid disease occurs through transdiaphragmatic spread or intrapleural rupture of a liver or lung cyst. In rare circumstances, a hydatid cyst may accompany pleural effusion. Here, we report a rare case that presented to us with right-sided gross pleural effusion. On evaluation, a large hydatid cyst was found in the left lobe of the liver without any sign of intrapleural or transdiaphragmatic rupture. The pleural fluid was exudative, eosinophilic, and had raised adenosine deaminase. This case depicts the rare presentation of disease and highlights the importance of clinical examination.


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  1. Engin G, Acunaş B, Rozanes I, Acunaş G. Hydatid disease with unusual localization. Eur Radiol 2000;10:1904-12.
  2. Rakowe R J, Milwidsky H. Hydatid pleural disease. Am Rev Respir Dis 1964;90:623-31.
  3. Barzilai A, Pollack S, Kaftori JK, Sourdry M, Barzilai D. Splenic echinococcal cyst burrowing into left pleural space. Chest 1977;72:543-5.
  4. Jerray M, Benzarti M, Garrouche A, Klabi N, Hayouni A. Hydatid disease of the lungs. Study of 386 cases. Am Rev Respir Dis 1992;146:185-9.
  5. von Sinner W. Pleural complications of hydatid disease (Echinococcus granulosus). Rofo 1990;152:718-22.
  6. Ozvaran MK, Ersoy Y, Uskul B, Unver E, Yalcin E, Baran R, et al. Pleural complications of pulmonary hydatid disease. Respirology 2004;9:115-9.
  7. Moreno-Licea C, Medina-Franco H, Guerrero-Ixtláhuac J, Chablé-Montero F. Primary Pleural hydatid cyst: Case report and literature review. annals of medicine and surgery: Case reports. 2021;2:1-8. [http://doi.org/10.29337/amscr.3].
  8. Kalomenidis I, Light RW. Eosinophilic pleural effusions. Curr Opin Pulm Med 2003;9:254-60.
  9. Light RW. Pleural Diseases. 6th ed. Philadelphia, PA 19103 US: Lippincott Williams & Wilkins; 2013. p. 94-5.
  10. Sadrieh M, Dutz W, Navabpoor MS. Review of 150 cases of hydatid cyst of the lung. Dis Chest 1967;52:662-6.
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