Delayed Surgical Treatment of a CE1 Lung Cyst Resulting in Pericystectomy of CE4 Cyst

Lung is the second most common locationof cystic echinococcosis (CE), after the liver. Diagnosis of lung CE is often incidental, and clinical manifestations depend on the location and size of the cyst, the most common being chest pain, shortness of breath, expectoration of fragments of endocyst, and...

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Main Authors: Gian Luca D’Alessandro, Agostina Pontarelli, Armanda Leka, Dino Casazza, Raffaella Lissandrin, Tommaso Manciulli, Annarita Botta, Roberto Parrella, Enrico Brunetti, Pietro Rinaldi
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2024/5167805
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author Gian Luca D’Alessandro
Agostina Pontarelli
Armanda Leka
Dino Casazza
Raffaella Lissandrin
Tommaso Manciulli
Annarita Botta
Roberto Parrella
Enrico Brunetti
Pietro Rinaldi
author_facet Gian Luca D’Alessandro
Agostina Pontarelli
Armanda Leka
Dino Casazza
Raffaella Lissandrin
Tommaso Manciulli
Annarita Botta
Roberto Parrella
Enrico Brunetti
Pietro Rinaldi
author_sort Gian Luca D’Alessandro
collection DOAJ
description Lung is the second most common locationof cystic echinococcosis (CE), after the liver. Diagnosis of lung CE is often incidental, and clinical manifestations depend on the location and size of the cyst, the most common being chest pain, shortness of breath, expectoration of fragments of endocyst, and haemoptysis. Surgery is the primary treatment, with a minor role for medical therapy. Delayed diagnosis and treatment may have important consequences. We present a case of lung CE in whichsurgical treatment was delayed due to the first wave of COVID-19. Since surgery could not be performed immediately, the patient was kept on albendazole and the cyst stage moved from CE1 to CE3a, to CE4, eventually requiring a more aggressive pericystectomy instead of the commonly performed endocystectomy. The clinical and imaging characteristics of a rare CE4 cyst of the lung are reported.
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institution Kabale University
issn 2090-6633
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publishDate 2024-01-01
publisher Wiley
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series Case Reports in Infectious Diseases
spelling doaj-art-267f5f8bbb8e43a9b7f5ce7a470f66e32025-08-20T03:54:51ZengWileyCase Reports in Infectious Diseases2090-66332024-01-01202410.1155/2024/5167805Delayed Surgical Treatment of a CE1 Lung Cyst Resulting in Pericystectomy of CE4 CystGian Luca D’Alessandro0Agostina Pontarelli1Armanda Leka2Dino Casazza3Raffaella Lissandrin4Tommaso Manciulli5Annarita Botta6Roberto Parrella7Enrico Brunetti8Pietro Rinaldi9Department of Clinical Surgical Diagnostic and Pediatric SciencesUnit of Respiratory Infectious DiseasesDepartment of Clinical Surgical Diagnostic and Pediatric SciencesUnit of Thoracic SurgerySan Matteo Hospital FoundationDepartment of Clinical and Experimental MedicineUnit of Respiratory Infectious DiseasesUnit of Respiratory Infectious DiseasesDepartment of Clinical Surgical Diagnostic and Pediatric SciencesDepartment of Clinical Surgical Diagnostic and Pediatric SciencesLung is the second most common locationof cystic echinococcosis (CE), after the liver. Diagnosis of lung CE is often incidental, and clinical manifestations depend on the location and size of the cyst, the most common being chest pain, shortness of breath, expectoration of fragments of endocyst, and haemoptysis. Surgery is the primary treatment, with a minor role for medical therapy. Delayed diagnosis and treatment may have important consequences. We present a case of lung CE in whichsurgical treatment was delayed due to the first wave of COVID-19. Since surgery could not be performed immediately, the patient was kept on albendazole and the cyst stage moved from CE1 to CE3a, to CE4, eventually requiring a more aggressive pericystectomy instead of the commonly performed endocystectomy. The clinical and imaging characteristics of a rare CE4 cyst of the lung are reported.http://dx.doi.org/10.1155/2024/5167805
spellingShingle Gian Luca D’Alessandro
Agostina Pontarelli
Armanda Leka
Dino Casazza
Raffaella Lissandrin
Tommaso Manciulli
Annarita Botta
Roberto Parrella
Enrico Brunetti
Pietro Rinaldi
Delayed Surgical Treatment of a CE1 Lung Cyst Resulting in Pericystectomy of CE4 Cyst
Case Reports in Infectious Diseases
title Delayed Surgical Treatment of a CE1 Lung Cyst Resulting in Pericystectomy of CE4 Cyst
title_full Delayed Surgical Treatment of a CE1 Lung Cyst Resulting in Pericystectomy of CE4 Cyst
title_fullStr Delayed Surgical Treatment of a CE1 Lung Cyst Resulting in Pericystectomy of CE4 Cyst
title_full_unstemmed Delayed Surgical Treatment of a CE1 Lung Cyst Resulting in Pericystectomy of CE4 Cyst
title_short Delayed Surgical Treatment of a CE1 Lung Cyst Resulting in Pericystectomy of CE4 Cyst
title_sort delayed surgical treatment of a ce1 lung cyst resulting in pericystectomy of ce4 cyst
url http://dx.doi.org/10.1155/2024/5167805
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