• Med Princ Pract · Jan 2008

    Case Reports

    Spontaneous rupture of a giant diaphragmatic hydatid cyst into the intrapleural space.

    • Erkan Dervisoglu, Salih Topcu, Serife Tuba Liman, and Ahmet Yilmaz.
    • Department of Internal Medicine (Division of Nephrology), Faculty of Medicine, Kocaeli University, Kocaeli, Turkey. dervisoglue@yahoo.com
    • Med Princ Pract. 2008 Jan 1;17(1):86-8.

    ObjectiveWe report a case of giant diaphragmatic hydatid cyst which ruptured spontaneously into the intrapleural space in a patient with coexistent giant hepatic hydatid cyst.Clinical Presentation And InterventionA 62-year-old female was admitted for dyspnea, nausea, vomiting, and right thoracic pain. Clinical findings, laboratory and radiological examinations including multislice computed tomography scan were consistent with the diagnosis of a giant diaphragmatic hydatid cyst which ruptured into the intrapleural space. Surgical intervention was performed through thoracotomy and phrenotomy in a one-stage operation for both cysts.ConclusionThis case shows that hydatid cysts of the diaphragm can rupture into the intrapleural space spontaneously. One-stage operation through thoracotomy may be successful for the surgical intervention for diaphragmatic hydatid cysts with coexistent hepatic cyst.(c) 2007 S. Karger AG, Basel.

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