Ali ÇELİK, Ayşe TANA ASLAN, Burcu BERBEROĞLU, İ. Cüneyt KURUL, Zühre KAYA, Cem YÜCEL

Kist hidatikli bir çocukta cerrahi ve girişimsel tedaviler

Kist hidatik, sıklıkla karaciğer ve akciğeri etkileyen Echinococcosis granulosa enkiste larvalarının çeşitli dokularayerleşmesi ile oluşan parazitik bir hastalıktır. Biz sol akciğer ve karaciğer kist hidatikli 9 yaşında bir olguyu sunduk.Başvurunun ikinci gününde yapılan tetkiklerde akciğerdeki kistte süpürasyon geliştiği için hasta operasyona alındı. Rüptüre akciğerdeki kiste kistotomi kapitonaj uygulandı. Histopatolojik inceleme ile kist hidatik tanısı uyumluidi. Cerrahi sonrası karaciğer kisti de girişimsel yöntem ile boşaltıldı. Bu olgu, sol akciğer ve karaciğer kist hidatiktedavisinde açık cerrahi ve ultrasonografik olarak kistin boşaltılmasının etkin bir tedavi olduğuna işaret etmektedir.(Gazi Med J 2011; 22: 85-7)

Surgery and ınterventional treatments in a child with hydatid cyst

Hydatid cyst is a parasitic disease caused by infestation of various body tissues by the encysted larvae of Echino-coccosis granulosa, most frequently affecting the liver and lungs. We present a 9-year old male with lung and liverhydatid cyst. After the clinical workup on the second day of admission, the patient underwent surgery becausesuppuration has developed in the lung cyst. The ruptured lung cyst was excised by cystectomy and capitonnagevia left thoracotomy. After surgery, the liver cyst was evacuated with an interventional method. The diagnosis ofhydatid cyst was confirmed by histopathological examination. This case report indicates that open surgery, ac-companied by ultrasonographically guided aspiration, can be effective treatment of left lung and liver hydatid cyst.(Gazi Med J 2011; 22: 85-7)

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