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Laparoscopic transdiaphragmatic approach to a thoracic paravertebral hydatid cyst presenting with compression myelopathy
  1. Saket Kumar1,
  2. Abhay Kumar2,
  3. Mukesh Kumar3 and
  4. Rana Parween2
  1. 1Department of Surgical Gastroenterology, Indira Gandhi Institute of Medical Sciences, Patna, India
  2. 2Department of General and Minimally Invasive Surgery, BIG Apollo Spectra Hospitals, Patna, India
  3. 3Department of Neurosurgery, BIG Apollo Spectra Hospitals, Patna, India
  1. Correspondence to Dr Saket Kumar; krsaketsingh{at}


An elderly gentleman presented with heaviness over the right side of the chest, lower back pain and difficulty in walking for the last 6 months. He also reported of progressive weakness of the left leg associated with tingling and numbness for 2 months. Imaging studies revealed a large hydatid cyst in the right thoracic cavity compressing the spinal cord. The patient was prescribed a 14-day course of albendazole therapy. He underwent laparoscopic transdiaphragmatic deroofing and evacuation of the cyst. Postoperative recovery was uneventful. The patient started showing symptom relief from day 1 of surgery and by day 3, his right leg strength and sensation recovered remarkably. Echinococcal cyst is a zoonotic disease that can affect any part of the body. Vertebral involvement and spinal cord compression is a rare manifestation of echinococcal disease. Such cases pose diagnostic and therapeutic challenges and require a multidisciplinary approach to treat them successfully.

  • neurology (drugs and medicines)
  • tropical medicine (infectious disease)
  • spinal cord

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  • Contributors SK, AK, RP, MK: Concept and design. SK, AK, RP: Drafting the manuscript. SK, AK, MK, RP: Literature search and critical revision. The manuscript has been read and approved by all the authors (SK, AK, MK, RP), the requirements for authorship as stated earlier in this document have been met and each author believes that the manuscript represents honest work, if that information is not provided in another form.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.