Respir Case Rep. 2017; 6(1): 41-44 | DOI: 10.5505/respircase.2017.38268

Akciðerde Ekinokokkus alveolaris ve Ekinokokkus granülosus Birlikteliði: Nadir Bir Olgu Sunumu

Berna Akýncý Özyürek¹, Yurdanur Erdoðan¹, Sertaç Büyükyaylacý Özden¹, Funda Demirað², Hatice Esra Özaydýn², Erkmen Gülhan^3
1Atatürk Göðüs Hastalýklarý Ve Göðüs Cerrahisi Eðitim Araþtýrma Hastanesi, Göðüs Hastalýklarý, Ankara
²Atatürk Göðüs Hastalýklarý Ve Göðüs Cerrahisi Eðitim Araþtýrma Hastanesi, Patoloji, Ankara
³Atatürk Göðüs Hastalýklarý Ve Göðüs Cerrahisi Eðitim Araþtýrma Hastanesi, Göðüs Cerrahisi, Ankara

Altmýþ bir yaþýnda erkek hasta, çekilen toraks bilgi-sayarlý tomografisinde her iki akciðerde spiküler uzaným ve bazýlarý kaviter özellik gösteren çok sayýda nodülleri olmasý nedeni ile ileri tetkik amaçlý yönlendirilmiþti. Çekilen PET-BT'de sol akciðerde nodüler dansite artýmlarýna ait artmýþ metabolik aktivite tutulumlarý (SUVmax: 4.68), mediastende düþük metabolik aktivite tutulumu olan lenfadenopatiler saptandý. Hastaya transtorasik kesici iðne biyopsisi yapýldý, fakat tanýsal olmadý. VATS ile sol alt ve üst lobdan wedge biyopsisi yapýldý. Biyopsi sonucu ekinokokkus alveolaris olarak geldi. Hastaya albendozol tedavisi baþlandý. Tedavi amaçlý olarak sol retorakotomi yapýldý. Sol üst ve alt lobdan Wedge rezeksiyon ve kist membran eksizyonu yapýldý. Patoloji sonucu ekinokokkus alveolaris ve granülosus birlikteliði olarak raporlandý. Ekinokokkus alveolaris ve granülosus birlikteliði nadiren görülmektedir. Olgumuzu akciðerde bu birlikteliðin görülmesi ve farklý radyolojik görünümü nedeni ile sunmayý amaçladýk.

Anahtar Kelimeler: Ekinokokkus Alveolaris, Ekinokokkus Granülosus, akciðer

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

Berna Akýncý Özyürek¹, Yurdanur Erdoðan¹, Sertaç Büyükyaylacý Özden¹, Funda Demirað², Hatice Esra Özaydýn², Erkmen Gülhan^3
1Department of Chest Diseases, Atatürk Chest Diseases and Thoracic Surgery Training and Research Hospital, Ankara, Turkey
²Department of Pathology, Atatürk Chest Diseases and Thoracic Surgery Training and Research Hospital, Ankara, Turkey
³Department of Thoracic Surgery, Atatürk 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

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Olgunun Görüntü Kesitleri

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