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Volume 25 |
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Number 1 |
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Published by : PROFESSIONAL MEDICAL PUBLICATIONS |
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ISSN 1681-715X |
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CASE REPORT |
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Volume 25 |
January - March 2009 |
Number 1 |
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Echinococcal tension pneumothorax
in a pregnant womanHasan Ekim1, Meral Ekim2
SUMMARY
Pulmonary hydatid cyst in pregnancy is a very rare pathology and its diagnosis and treatment is still a complex of problem. We report a rare case of ruptured giant pulmonary hydatid cyst presenting with tension pneumothorax during pregnancy. According to our knowledge this is the first report of such a case. A 21-year old pregnant woman was admitted to our hospital with complaints of left-sided chest pain, cyanosis and dyspnea. Chest radiograph showed tension pneumothorax, mediastinal shift, and tracheal displacement. Echocardiography revealed perforated hydatid cyst adjacent to pericardium. She was taken to the operating room immediately. During operation, a giant perforated hydatid cyst (12x10cm) was found, outside the pericardium displacing and compressing the left lower lobe. Histopathological examination confirmed the diagnosis. Approximately 5 months later she had a spontaneous vaginal delivery. Both the patient and her baby were healthy. Perforated pulmonary hydatid cyst should be kept in mind in the differential diagnosis of tension pneumothorax in a pregnant woman and surgical intervention should be performed promptly.
KEY WORDS: Pregnancy, Tension Pneumothorax, Hydatidosis.
Pak J Med Sci January - March 2009 Vol. 25 No. 1 159-161
How to cite this article:
Ekim H, Ekim M. Echinococcal tension pneumothorax in a pregnant woman. Pak J Med Sci 2009;25(1):159-161.
1. Hasan EKIM, MD,
Department of Cardiovascular Surgery,
2. Meral EKIM, MD,
Department of Biochemistry,
1,2: Yüzüncü Yil University,
Van, Turkey.
Correspondence
Dr. Hasan EKIM
E Mail: drhasanekim@yahoo.com
* Received for Publication: September 19, 2008
* Revision Received: September 23, 2008
* 2nd Revision Received: December 29, 2008
* Final Revision Accepted: December 30, 2008
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