MESUT BUZ, YUNUS EMRE ÖZSARAY, MEHMET İLHAN SESİGÜZEL, MAHMUT TALHA DOGRUYOL, RIZA BERK ÇİMENOĞLU, ATTİLA ÖZDEMİR, RECEP DEMİRHAN
Southern Clinics of Istanbul Eurasia - 2024;35(4):336-339
Objective: Pulmonary hydatid cyst is a significant health concern, particularly in pediatric patients in endemic regions. Ruptured cysts can lead to severe complications such as bronchopleural fistula and pleural effusion. Surgical management remains the gold standard, with varying approaches based on the rupture status of the cyst. This study aims to compare the clinical characteristics and surgical outcomes of pediatric patients with ruptured and nonruptured pulmonary hydatid cysts. Methods: This retrospective observational study included pediatric patients who underwent surgery for pulmonary hydatid cysts at a tertiary care hospital between January 1, 2014, and January 1, 2024. Patients were categorized into two groups: those with ruptured cysts and those with non-ruptured cysts. Demographic data, cyst size, Indirect Hemagglutination Assay (IHA) results, and postoperative complications were compared. Results: A total of 17 pediatric patients (14 males, 3 females) with a mean age of 11.18 years were included. There were no significant differences between ruptured and non-ruptured cysts in terms of age (p=0.793), gender (p=0.757), cyst size (p=0.962), or IHA positivity (p=0.683). Complications occurred in 50% of patients with ruptured cysts and 46.15% of those with non-ruptured cysts, with no significant difference (p=0.958). One patient with a ruptured cyst developed a bronchopleural fistula requiring lobectomy, while another in the non-ruptured group experienced postoperative pleural effusion managed by Video-Assisted Thoracoscopic Surgery (VATS). Conclusion: Although no significant differences were found in demographic or clinical variables, ruptured cysts were associated with more severe complications. Careful surgical management and postoperative monitoring are essential in both ruptured and non-ruptured pulmonary hydatid cysts to prevent and manage complications.
