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Laparoscopic Endoscopic Surgical Science Akcierde Ekinokokkus alveolaris ve Ekinokokkus granlosus Birliktelii: Nadir Bir Olgu Sunumu [Respir Case Rep]
Respir Case Rep. 2017; 6(1): 41-44 | DOI: 10.5505/respircase.2017.38268

Akcierde Ekinokokkus alveolaris ve Ekinokokkus granlosus Birliktelii: Nadir Bir Olgu Sunumu

Berna Aknc zyrek1, Yurdanur Erdoan1, Serta Bykyaylac zden1, Funda Demira2, Hatice Esra zaydn2, Erkmen Glhan3
1Atatrk Gs Hastalklar Ve Gs Cerrahisi Eitim Aratrma Hastanesi, Gs Hastalklar, Ankara
2Atatrk Gs Hastalklar Ve Gs Cerrahisi Eitim Aratrma Hastanesi, Patoloji, Ankara
3Atatrk Gs Hastalklar Ve Gs Cerrahisi Eitim Aratrma Hastanesi, Gs Cerrahisi, Ankara

Altm bir yanda erkek hasta, ekilen toraks bilgi-sayarl tomografisinde her iki akcierde spikler uzanm ve bazlar kaviter zellik gsteren ok sayda nodlleri olmas nedeni ile ileri tetkik amal ynlendirilmiti. ekilen PET-BT'de sol akcierde nodler dansite artmlarna ait artm metabolik aktivite tutulumlar (SUVmax: 4.68), mediastende dk metabolik aktivite tutulumu olan lenfadenopatiler saptand. Hastaya transtorasik kesici ine biyopsisi yapld, fakat tansal olmad. VATS ile sol alt ve st lobdan wedge biyopsisi yapld. Biyopsi sonucu ekinokokkus alveolaris olarak geldi. Hastaya albendozol tedavisi baland. Tedavi amal olarak sol retorakotomi yapld. Sol st ve alt lobdan Wedge rezeksiyon ve kist membran eksizyonu yapld. Patoloji sonucu ekinokokkus alveolaris ve granlosus birliktelii olarak raporland. Ekinokokkus alveolaris ve granlosus birliktelii nadiren grlmektedir. Olgumuzu akcierde bu birlikteliin grlmesi ve farkl radyolojik grnm nedeni ile sunmay amaladk.

Anahtar Kelimeler: Ekinokokkus Alveolaris, Ekinokokkus Granlosus, akcier

Co-incidence of Echinococcus alveolaris and Echinococcus granulosus in the Lung: A Rare Case

Berna Aknc zyrek1, Yurdanur Erdoan1, Serta Bykyaylac zden1, Funda Demira2, Hatice Esra zaydn2, Erkmen Glhan3
1Department of Chest Diseases, Atatrk Chest Diseases and Thoracic Surgery Training and Research Hospital, Ankara, Turkey
2Department of Pathology, Atatrk Chest Diseases and Thoracic Surgery Training and Research Hospital, Ankara, Turkey
3Department of Thoracic Surgery, Atatrk Chest Diseases and Thoracic Surgery Training and Research Hospital, Ankara, Turkey

A 61-year old male patient was referred to our hospital for further investigation. Thoracic computed tomography (CT) images showed multiple, some cavitatingspicular nodules in both lungs. Positron emission tomography-CT (PET-CT) was showed high metabolic activity uptakes (SUVmax: 4.68) of nodular densities in the left lung and low metabolic activity uptakes of mediastinal lymphadenopathies. Tru-cut lung biopsy was non-diagnostic. The pa-tient was consulted with a thoracic surgeon for the left-sided video-assisted thoracoscopic surgery (VATS). Wedge biopsy from the left lower and upper lobes was performed. The diagnosis was reported as Echinococcus alveolaris. The infectious disease specialist suggested albendazole treatment. Therapeutic left rethoracotomy and wedge resec-tion plus excision of the cyst membrane were performed. The pathology result was reported as co-existence of E. alveolaris and E. granulosus. The co-existence of E. alveolaris and E. granulosus is rarely seen. Herein, we present a rare case with its different radiological appearance.

Keywords: Echinococcus alveolaris, Echinococcus granulosus, lung

Olgunun Grnt Kesitleri




Berna Aknc zyrek, Yurdanur Erdoan, Serta Bykyaylac zden, Funda Demira, Hatice Esra zaydn, Erkmen Glhan. Co-incidence of Echinococcus alveolaris and Echinococcus granulosus in the Lung: A Rare Case. Respir Case Rep. 2017; 6(1): 41-44

Sorumlu Yazar: Berna Aknc zyrek, Trkiye
Makale Dili: ngilizce
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