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Review
. 2016 Mar-Apr;33(2):179-91.
doi: 10.4103/0970-2113.177449.

Cystic pulmonary hydatidosis

Affiliations
Review

Cystic pulmonary hydatidosis

Malay Sarkar et al. Lung India. 2016 Mar-Apr.

Abstract

Cystic echinococcosis (CE) is a zoonotic parasitic disease caused by the larval stages of the cestode Echinococcus granulosus. Worldwide, pulmonary hydatid cyst is a significant problem medically, socially, and economically. Surgery is the definitive therapy of pulmonary hydatidosis. Benzimidazoles may be considered in patients with a surgical contraindication. This review will focus on pathogenesis, lifecycle, clinical features, and management of pulmonary hydatid disease.

Keywords: Benzimidazoles; Echinococcus granulosus; cystic echinococcosis; water-lily sign.

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Figures

Figure 1
Figure 1
The notch sign. Chest radiology (posterior-anterior view) showing notch on the outer border of the left lung mass
Figure 2
Figure 2
Multiple hydatidosis lungs. Computed tomography thorax (mediastinal window) showing multiple fluid-filled cystic lesion along the mediastinal and costal pleura and lung parenchyma
Figure 3
Figure 3
(a) A contrast-enhanced computed tomography scan of the chest (mediastinal window) showing a cyst in the right lower lobe of the lung containing a freely floating endocyst (the “Waterlily sign”). (b) A contrast-enhanced computed tomography scan of the chest (lung window) showing a cyst in the right lower lobe of the lung containing a freely floating endocyst (the “water lily sign”)
Figure 4
Figure 4
Computed tomography chest (lung window) small air bubbles within the perforated pulmonary cysts named as “air bubble sign”
Figure 5
Figure 5
Computed tomography thorax (mediastinal window) showing cystic lesion in the RUL posterior segment with undulating membrane
Figure 6
Figure 6
The completely enucleated cyst

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