Pulmonary Hydatid Cyst

[Ahmed, Naveed]

JJ,
It is thick walled, are you sure it's a hydatid? 
I will do a post/lat thoracotomy, if it is a hydadid cyst as you inflate
it will peal out, I will start the incision anteriorly away from the
cyst, its easy to rupture, you don't want that.

Naveed Ahmed
Cleveland


-----Original Message-----
From: jjsurgmd at aol.com [mailto:jjsurgmd at aol.com] 
Sent: Tuesday, May 20, 2008 7:08 AM
To: trauma-list at trauma.org
Subject: Pulmonary Hydatid Cyst


All,
?pardon this slightly off target question for the group, but I have been
asked by some of my Egyptian colleagues to surgically drain an
Echinococcal cyst that resides in the right lower lobe of a 5 year olds
lung.? They physicians referring have extensive experience with this
disease and insist that surgical drainage is the way to go for these
pulmonary cysts, we are doing the abdominal cysts percutaneously.? I am
a US trauma surgeon with little experience in Echinococcal disease but
see that the literature is somewhat split on the issue.? Looking for
some input from those who have been there with this disease process.? CT
(2 cuts) attached.
thanks

jj

Afghanistan