A novel bronchoscope method (saline injection method) for complete extraction of ruptured pulmonary hydatid cyst

Clin Respir J. 2018 Jan;12(1):312-316. doi: 10.1111/crj.12484. Epub 2016 Apr 27.

Abstract

Introduction: Echinococcus granulosus is an important public health problem in the Mediterranean area. Today's surgery is the principal therapeutic approach for chronic ruptured hydatid cyst removal.

Objectives: In this paper, a new bronchoscopic method using saline injection is explained as a safe method to remove ruptured pulmonary hydatid cysts. This non-invasive method has no complications and no need to anesthesia and admission. We hope that this novel bronchoscopic method can be a starting point for future advances in the field of pulmonary hydatid cyst treatment methods.

Methods: Saline injection method by bronchoscopy (M. E. Hejazi Method) RESULTS: We extracted the entire hydatid cysts of both patients by fiber optic bronchoscopy using saline injection method (M. E. Hejazi Method) for the detachment of underlying membrane from cavity wall.

Conclusions: This bronchoscopic method is minimally invasive, without surgery, anesthesia and hospital admission, the least complication and morbidity as well as is cost benefit in comparison with surgery.

Keywords: Echinococcus granulosus - flexible bronchoscopy - hydatid cyst - M. E. Hejazi method.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Animals
  • Bronchoscopes*
  • Bronchoscopy / methods*
  • Echinococcosis, Pulmonary / diagnosis
  • Echinococcosis, Pulmonary / parasitology
  • Echinococcosis, Pulmonary / surgery*
  • Echinococcus granulosus / isolation & purification*
  • Equipment Design
  • Humans
  • Injections, Intralesional
  • Male
  • Rupture, Spontaneous
  • Sodium Chloride / administration & dosage*
  • Tomography, X-Ray Computed

Substances

  • Sodium Chloride