{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T18:06:07Z","timestamp":1775844367152,"version":"3.50.1"},"reference-count":14,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,2,4]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n                  <jats:p>Lung cystic echinococcosis (CE) is often diagnosed incidentally, and its clinical manifestations vary depending on the cyst\u2019s location and size. The most common symptoms include chest pain, shortness of breath, expectoration of endocyst fragments, and hemoptysis. Surgery is the primary treatment, while medical therapy plays a minor role. However, failure to completely remove the cyst can lead to disease recurrence and complications such as bronchial fistula. We report the case of a 33-year-old shepherd from Italy, who presented with recurrent hemoptysis. Imaging revealed a large pulmonary cyst in the right upper lobe. The patient underwent thoracotomy with atypical lung resection, but residual parasitic tissue remained, leading to recurrent hemoptysis, arterial hypertrophy, and bronchial fistula. Management required reoperation. Postoperative histology confirmed residual echinococcal tissue. The patient was discharged on prolonged albendazole therapy and remains under follow-up.<\/jats:p>","DOI":"10.4269\/ajtmh.25-0457","type":"journal-article","created":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T16:20:49Z","timestamp":1765470049000},"page":"266-268","source":"Crossref","is-referenced-by-count":0,"title":["Short-Term Consequences of Incomplete Resection of an Echinococcal Cyst of the Lung"],"prefix":"10.4269","volume":"114","author":[{"given":"Matilde","family":"Pelizzola","sequence":"first","affiliation":[{"name":"Department of Clinical, Surgical Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tommaso","family":"Manciulli","sequence":"additional","affiliation":[{"name":"Research and Innovation Department (DAIRI), SS Antonio e Biagio e Cesare Arrigo University Hospital, Alessandria, Italy;"},{"name":"Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefano","family":"Auriemma","sequence":"additional","affiliation":[{"name":"Department of Clinical, Surgical Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raffaella","family":"Lissandrin","sequence":"additional","affiliation":[{"name":"WHO Collaborating Centre for Clinical Management of Cystic Echinococcosis, Pavia, Italy;"},{"name":"Division of Infectious Diseases I, IRCCS San Matteo Hospital Foundation, Pavia, Italy;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorenzo","family":"Giacometti","sequence":"additional","affiliation":[{"name":"Division of Pathology, SS Antonio, Biagio and Cesare Arrigo Hospital, Alessandria, Italy;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ambra","family":"Vola","sequence":"additional","affiliation":[{"name":"WHO Collaborating Centre for Clinical Management of Cystic Echinococcosis, Pavia, Italy;"},{"name":"Virology and Microbiology Unit, San Matteo Hospital Foundation, Pavia, Italy;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gian Luca","family":"D\u2019Alessandro","sequence":"additional","affiliation":[{"name":"Department of Clinical, Surgical Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy;"},{"name":"WHO Collaborating Centre for Clinical Management of Cystic Echinococcosis, Pavia, Italy;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefano","family":"Meda","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery, SS Antonio, Biagio and Cesare Arrigo Hospital, Alessandria, Italy;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enrico","family":"Brunetti","sequence":"additional","affiliation":[{"name":"Department of Clinical, Surgical Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy;"},{"name":"WHO Collaborating Centre for Clinical Management of Cystic Echinococcosis, Pavia, Italy;"},{"name":"Division of Infectious Diseases I, IRCCS San Matteo Hospital Foundation, Pavia, Italy;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pietro","family":"Rinaldi","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery, SS Antonio, Biagio and Cesare Arrigo Hospital, Alessandria, Italy;"},{"name":"Department of Internal Medicine and Therapeutics, University of Pavia, Pavia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"b1","series-title":"Adv Parasitol","first-page":"315","article-title":"Global distribution of alveolar and cystic echinococcosis","volume":"95","author":"Deplazes","year":"2017"},{"key":"b2","series-title":"Ann Trop Med Parasitol","first-page":"679","article-title":"Human cystic echinococcosis: Contributions to the natural history of the disease","volume":"95","author":"Larrieu","year":"2001"},{"key":"b3","series-title":"Curr Opin Infect Dis","first-page":"318","article-title":"Pulmonary cystic echinococcosis","volume":"36","author":"Weber","year":"2023"},{"key":"b4","series-title":"Curr Opin Pulm Med","first-page":"257","article-title":"Pulmonary cystic echinococcosis","volume":"16","author":"Santivanez","year":"2010"},{"key":"b5","series-title":"Case Rep Infect Dis","first-page":"1","article-title":"Delayed surgical treatment of a CE1 lung cyst resulting in pericystectomy of CE4 cyst","volume":"2024","author":"D\u2019Alessandro","year":"2024"},{"key":"b6","series-title":"Am J Trop Med Hyg","first-page":"298","article-title":"Intrathoracic echinococcosis: A 5-year, single-center experience","volume":"113","author":"Lissandrin","year":"2025"},{"key":"b7","series-title":"Clin Infect Dis","first-page":"304","article-title":"Long-term evaluation of patients with hydatidosis treated with benzimidazole carbamates","volume":"29","author":"Franchi","year":"1999"},{"key":"b1","series-title":"Adv Parasitol","first-page":"315","article-title":"Global distribution of alveolar and cystic echinococcosis","volume":"95","author":"Deplazes","year":"2017"},{"key":"b2","series-title":"Ann Trop Med Parasitol","first-page":"679","article-title":"Human cystic echinococcosis: Contributions to the natural history of the disease","volume":"95","author":"Larrieu","year":"2001"},{"key":"b3","series-title":"Curr Opin Infect Dis","first-page":"318","article-title":"Pulmonary cystic echinococcosis","volume":"36","author":"Weber","year":"2023"},{"key":"b4","series-title":"Curr Opin Pulm Med","first-page":"257","article-title":"Pulmonary cystic echinococcosis","volume":"16","author":"Santivanez","year":"2010"},{"key":"b5","series-title":"Case Rep Infect Dis","first-page":"1","article-title":"Delayed surgical treatment of a CE1 lung cyst resulting in pericystectomy of CE4 cyst","volume":"2024","author":"D\u2019Alessandro","year":"2024"},{"key":"b6","series-title":"Am J Trop Med Hyg","first-page":"298","article-title":"Intrathoracic echinococcosis: A 5-year, single-center experience","volume":"113","author":"Lissandrin","year":"2025"},{"key":"b7","series-title":"Clin Infect Dis","first-page":"304","article-title":"Long-term evaluation of patients with hydatidosis treated with benzimidazole carbamates","volume":"29","author":"Franchi","year":"1999"}],"container-title":["The American Journal of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/114\/2\/article-p266.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/114\/2\/article-p266.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/114\/2\/article-p266.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T17:19:48Z","timestamp":1775841588000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/114\/2\/article-p266.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,4]]},"references-count":14,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.25-0457","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"value":"0002-9637","type":"print"},{"value":"1476-1645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,4]]}}}