PDF(Pubmed)
Abstract：
Pulmonary hydatid cyst during pregnancy is extremely rare and life-threatening for the mother and fetus. Throughout pregnancy, hydatid cysts may enlarge due to the suppression of cellular immunity and steroids secreted from the placenta. In late pregnancy, the cysts can reach a huge volume with an increased risk for subsequent rupture due to the compression of the enlarging uterus and anaphylactic shock. Intrabronchial rupture is a rare and life-threatening complication of pulmonary hydatid cysts. It is vital to diagnose it as early as possible and manage patients with surgical intervention with aggressive medical treatment. Plain radiograph, computed tomography (CT) scan, and magnetic resonance imaging (MRI) can be used to identify pulmonary hydatid cysts. However, the diagnosis of hydatid cyst is quite challenging in pregnant patients due to concerns of radiation. Herein, we present a 26-week pregnant patient with acute respiratory failure. Bedside lung ultrasound was notable for thickened and severely broken pleural line with a large subpleural consolidation, and a giant fluid-filled cyst covered almost the entire left thorax, causing a mediastinal shift. In the present case, we highlighted that the bedside lung ultrasound in emergency (BLUE) protocol is an easy, safe, and fast way to identify pulmonary hydatid cyst. It should be the initial technique of choice for the diagnosis of pulmonary hydatid cysts in pregnant patients.
摘要：
妊娠期间的肺包虫囊肿极为罕见，对母亲和胎儿有生命危险。在整个怀孕期间,包虫囊肿可能由于抑制细胞免疫和胎盘分泌的类固醇而扩大。在怀孕后期，囊肿可以达到巨大的体积，由于子宫增大的压迫和过敏性休克，随后破裂的风险增加。支气管内破裂是肺包虫囊肿的一种罕见且危及生命的并发症。至关重要的是尽早诊断它，并通过积极的药物治疗来管理手术干预的患者。平片,计算机断层扫描(CT)扫描,磁共振成像（MRI）可用于识别肺包虫囊肿。然而,由于考虑到辐射，妊娠患者对包虫囊肿的诊断非常具有挑战性。在这里，我们介绍了1例妊娠26周的急性呼吸衰竭患者.床旁肺超声表现为胸膜线增厚严重断裂伴胸膜下大实变，一个巨大的充满液体的囊肿几乎覆盖了整个左胸部，导致纵隔移位.在目前的情况下,我们强调，床边肺超声在紧急情况下（蓝色）协议是一个简单的，安全,和快速的方法来识别肺包虫囊肿。它应该是诊断妊娠患者肺包虫囊肿的首选技术。
