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Multiple primary chest wall hydatid cysts associated with spinal canal involvement

Dalokay Klç^a,*, Bulent Erdogan^b, Mehmet Ali Habesoglu^c and Ahmet Hatipoglu^d

^a Department of Thoracic Surgery, Bakent University, School of Medicine, Bakent University Hospital, 01250 Adana, Turkey
^b Department of Neurosurgery, Bakent University, School of Medicine, Bakent University Hospital, 01250 Adana, Turkey
^c Department of Chest Disease, Bakent University, School of Medicine, Bakent University Hospital, 01250 Adana, Turkey
^d Department of Thoracic Surgery, Bakent University, School of Medicine, 06490 Ankara, Turkey

^* Corresponding author. Tel.: +90-322-3272727; fax: +90-322-3271274
dalokay7{at}hotmail.com

Primary multiple chest wall hydatid cysts associated with spinal canal involvement through an intervertebral foramen is an uncommon clinical entity. We present a 54-year-old man who underwent cystotomy and total resection of ribs five through seven via a left posterolateral thoracotomy followed by Th5–Th6 anterolateral partial pediculotomies for removal of cysts in the spinal canal. Although spinal reconstruction was not required, the chest wall defect was repaired with mersilene mesh–methyl methacrylate sandwich graft. Hydatid disease should be considered in the differential diagnosis of mass lesions located in the chest wall. In cases of spinal canal involvement, detailed visualization of spinal canal utilizing MRI and/or CT is essential for planning surgical approach.

Key Words: Hydatid cyst; Chest wall; Spinal canal; Chest wall reconstruction