Diagnostics and treatment of rare forms of hydatid disease of a chest cavity

Echinococcosis - still actual clinical problem in the countries of Central Asia. Unusual localisation of an echinococcosis meets seldom. Experience of surgical treatment of patients with rare forms of an echinococcosis of a thorax is resulted. At the retrospective analysis, for last 33 years (1975-2008) Authors have noted 116 cases of unusual localisation hydatid cysts from total 2989 (3,88%) patients with intrathoracic localisation of an echinococcosis. 113 patients are operated, from them in 112 cases radical operations, in one - palliative echinococcectomy from a pulmonary tissue and organs of a mediastinum with liquidation large hydatid cyst are executed. For the purpose of differential diagnostics, specification by process localisation in a thoracal cavity, the sizes of formation, character of its contents carrying out of such methods of diagnostics, MSКТ and USI is necessary. The basic method of treatment is surgical, supplemented adequate chemotherapy. Choice operations at an echinococcosis of atypical localisation are interventions organ-saving character.