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Vol. 51. Issue 11.
Pages 600-601 (November 2015)
Vol. 51. Issue 11.
Pages 600-601 (November 2015)
Clinical Image
DOI: 10.1016/j.arbr.2015.06.009
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Posterior Approach to Intrathoracic Hydatid Cyst Invading the Dorsal Spine
Abordaje posterior de un quiste hidatídico intratorácico que invadía la columna vertebral
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Mohammed-Massine El Hammoumia,
Corresponding author
hamoumimassine@hotmail.fr

Corresponding author.
, Brahim El Mostarchidb, El Hassane Kabiric
a Servicio de Cirugía Torácica, Mohamed V Military University Hospital, Rabat, Morocco
b Servicio de Neurocirugía, Mohamed V Military University Hospital, Rabat, Morocco
c Faculty of Medicine and Pharmacy, Mohamed V University, Rabat, Morocco
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Hydatidosis is a parasitic disease caused by the larval form of Echinococcus granulosus. Thoracic and costo-vertebral hydatid cysts are very rare, accounting for 0.18%–1.21% of all cases.1 We report a thoracic and costo-vertebral multivesicular hydatid cyst in a 28-year-old man (Fig. 1A and B). The patient was treated by radical surgery via a posterior approach and anti-parasitic medical treatment for a period of 6 months, and progressed well. Due to the location, number of affected vertebrae and degree of spinal cord compression, surgery can be high-risk. Thoracic spine and rib resection extending to the muscles and vertebrae, with the possibility of reconstruction or fixation and removal of cysts located in pulmonary or mediastinal sites can be achieved with posterior thoracotomy.2

Fig. 1.

(A) Chest computed tomography showing a left multivesicular hydatid cyst in the costo-vertebral area involving the 8th and 9th ribs and the corresponding D11–D12 vertebrae, with costal lysis and spinal extension and no signs of medullar compression. (B) Hydatid cyst on chest T2-weighted coronal magnetic resonance imaging showing solid matrix with numerous daughter cysts in the mass.

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Conflict of Interest

No conflict of interest to declare.

References
[1]
S. Maalej, D. Belhabib, S. Hantous, S. Fenniche, A. Ammar, S. Hammami, et al.
Hydatidosecosto-vertébrale: intérêt de l’IRM.
Rev Mal Respir, 20 (2003), pp. 614-617
[2]
M. Kolsi, M. Ghorbel, M. Abdennadher, I. Chabchoub, H. Ben Mansour, Y. Sahnoun.
Localisation costo-vertébrale compliquée d’une échinococcose multifocale, Intérêt de la chirurgie par voie antérieure.
Rev Mal Respir, 22 (2005), pp. 673-676

Please cite this article as: El Hammoumi MM, El Mostarchid B, Kabiri EH. Abordaje posterior de un quiste hidatídico intratorácico que invadía la columna vertebral. Arch Bronconeumol. 2015;51:600–601.

Copyright © 2015. SEPAR
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Archivos de Bronconeumología (English Edition)

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