Evaluating the Effect of Pulmonary Hydatid Cyst on Lung Function Tests in Pediatric Pulmonary Hydatidosis

Document Type : original article

Authors

1 Pediatric Resident, Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Associate Professor of Pediatric Pulmonology, Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

3 Assistant Professor of Pediatric Immunology and Allergy, Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

4 Assistant Professor of Pediatrics, Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract

Background: The effect of treatment on lung function in children with pulmonary hydatid cyst is not determined yet. Regarding the high prevalence of pulmonary involvement in pediatric patients with hydatid cyst and its destructive effects on the lungs, we aimed to evaluate the lung function tests before and after treatment in children with pulmonary hydatid cyst.
Methods: 30 pediatric patients with pulmonary hydatid cyst were included in this study. Data was gathered using a checklist which consisted of demographic data and patient characteristics, radiologic findings and diagnostic tests. For all 30 patients, spirometry was performed before and after the treatment.
Results: The mean age of patients was 8.5±2.2 years. Most of the patients were male (76%) and living in rural areas (80%). Lower zone of the right lung was the most common site of involvement. Simultaneous involvement of the lung and liver was observed in 13.3% of the patients. Pulmonary function tests were evaluated before and after surgical treatment of the hydatid cyst. The Forced Expiratory Volume 1 (FEV1) and Forced Vital Capacity (FVC) were not significantly different before and after the treatment (P>0.05), but FEV1 to FVC ratio was significantly increased after treatment (P<0.001).
Conclusion: The results of this study revealed positive effects of the treatment on the pulmonary function tests in children with pulmonary hydatid cysts. However, further studies are needed in this area.

Keywords

References

  1. Alam MT, Saber S, Alam RF, Hossain MM. Primary pulmonary hydatid disease. Bangladesh Critical Care Journal. 2018 Oct 15; 6(2):105-7.
  2. Rokni MB. The present status of human helminthic diseases in Iran. Annals of Tropical Medicine & Parasitology. 2008 Jun 1; 102(4):283-95.
  3. Komolafe F, Dahniya MH. A Teaching Atlas of Case Studies in Diagnostic Imaging. Jaypee Brothers Medical Publishers; 2023 Mar 23.
  4. Kocaman OH, Günendi T, Dere O, Dörterler ME, Boleken ME. Pulmonary hydatid cyst in children: A single-institution experience. Cureus. 2022 Jul; 14(7).
  5. Dincer SI, Demir A, Sayar A, Gunluoglu MZ, Kara HV, Gurses A. Surgical treatment of pulmonary hydatid disease: a comparison of children and adults. Journal of pediatric surgery. 2006 Jul 1; 41(7):1230-6.
  6. Rawat S, Kumar R, Raja J, Singh RS, Thingnam SK. Pulmonary hydatid cyst: review of literature. Journal of family medicine and primary care. 2019 Sep 30; 8(9):2774-8.
  7. Moro P, Schantz PM. Echinococcosis: a review. International journal of Infectious diseases. 2009 Mar 1; 13(2):125-33.
  8. Nasr B, Al_junaeed A, Al Sady G, Al Shehari A, Amri A, Issa M, et al. Lung hydatid cysts in children, evaluation and surgical management. Journal of Cancer Science and Clinical Therapeutics. 2023; 7(1):25-38.
  9. Onal O, Demir OF. Is anatomic lung resection necessary in surgical treatment of giant lung hydatid cysts in childhood?. Annals of Thoracic and Cardiovascular Surgery. 2017; 23(6):286-90.
  10. Ksia A, Fredj MB, Zouaoui A, Kechiche N, Belhassen S, Mosbahi S, et al. Capitonnage seems better in childhood pulmonary hydatid cyst surgery. Journal of Pediatric Surgery. 2020 Apr 1; 55(4):752-5.
  11. Hyatt RE, Scanlon PD, Nakamura M. Interpretation of pulmonary function tests. Lippincott Williams & Wilkins; 2014.
  12. Jat KR. Spirometry in children. Primary Care Respiratory Journal. 2013 Jun; 22(2):221-9.
  13. Miller MR, Hankinson JA, Brusasco V, Burgos F, Casaburi R, Coates A, et al. Standardisation of spirometry. European respiratory journal. 2005 Aug 1; 26(2):319-38.
  14. Dyer RA, Gordon PC, De Groot KM, Walther G, James MF. Excision of a giant hydatid cyst of the lung under thoracic epidural anaesthesia. Anaesthesia and intensive care. 2001 Apr; 29(2):181-4.
  15. Tocchioni F, Lombardi E, Ghionzoli M, Ciardini E, Noccioli B, Messineo A. Long-term lung function in children following lobectomy for congenital lung malformation. Journal of pediatric surgery. 2017 Dec 1; 52(12):1891-7.
  16. Schaballie H, Rigolle H, Schelstraete P, Van Daele S, Willekens J, Proesmans M, et al;. Pulmonary function in children after lobectomy.
  17. Panda SS, Agarwala S, Kabra SK, Bhatnagar V. A survey of pulmonary function abnormalities following thoracotomy. The Indian Journal of Pediatrics. 2014 Jul; 81:660-4.
Journal of Pediatric Perspectives
Volume 12, Issue 11
November 2024
Pages 19165-19169

Files

Share

How to cite

Statistics