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  • Title: Spontaneous rupture of a giant diaphragmatic hydatid cyst into the intrapleural space.
    Author: Dervisoglu E, Topcu S, Liman ST, Yilmaz A.
    Journal: Med Princ Pract; 2008; 17(1):86-8. PubMed ID: 18059109.
    Abstract:
    OBJECTIVE: We 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 INTERVENTION: A 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. CONCLUSION: This 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.
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