case_images: PMC10957245_01
case_images: Radiological and surgical findings. (a, b) Thoracic imaging at the time of diagnosis showing a liquid cyst; (c, d) thoracic imaging right before surgery showing a decrease in cystic volume, air within the cyst, and pericystic thickening; (e) ultrasound of the lung cyst carried out during the hospitalization before surgery showing the complex US structure of the cyst, with the "ball of wool sign"; (f, g) intraoperative findings showing the thoracotomic approach and the shreds of pericyst requiring careful dissection.
case_images: CRIID2024-5167805.001.jpg
case_images: PMC10957245_01_CRIID2024-5167805.001.jpg
case_images: fig1
case_images: The patient was transferred to a tertiary care hospital in Naples, where imaging confirmed the lung cyst (Figures 1(a) and 1(b)) and serology for E. granulosustested positive. The preoperative CT scan confirmed the above-described changes in the radiological appearance of the cyst (Figures 1(c)-1(e)), and the bronchoscopic examination ruled out major cysto-bronchial fistulisations. Surgical pericystectomy with a thoracoscopic-thoracotomic hybrid approach with bronchial saturation was performed after positioning of hypertonic-soaked gauze pads and subsequent lavage with hydrogen peroxide and povidone-iodine of the pleural cavity was carried out (Figures 1(f) and 1(g)).
case_images: Timeline illustrating the events presented in our case report. ABZ = albendazole; CT = computer tomography; amoxi/clav = antibiotic treatment with amoxicillin/clavulanic acid.
case_images: CRIID2024-5167805.002.jpg
case_images: PMC10957245_01_CRIID2024-5167805.002.jpg
case_images: fig2
case_images: A timeline of the events is presented in Figure 2.