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India: Doctors remove Iranian Kurdish
boy’s lung with tape worm cyst
21.8.2012 |
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August 21, 2012
CHENNAI, India,— Zhegir Hasan Obaid,
18, of Kurdistan in Iran came to Chennai to correct
a malformation of a bone between his head and neck.
But, before the doctors operated on him, they
discovered a more important problem - a large cyst
in his lungs caused by a tape worm that usually
lives in dog's gut.
Five years ago, Zhegir once fell on a playground in
Kurdistan after which his limbs has become very
weak. The disease was progressive and Zhegir became
immobile. He was brought to Global Hospitals in
Chennai for a surgery.
During the pre-operative screening, doctors found
that Zhegir often goes breathless. Scans revealed a
huge cyst — hydatid disease — on his right lung.
Radiologists tried to aspirate the cyst but Zhegir
collapsed on the table. A team of cardiothoracic
surgeons were called in. "We had no option but to do
an emergency surgery to remove the lung," said
cardiothoracic surgeon Dr Govini Balasubramani.
Zhegir was on a ventilator for four days. "He was
lucky. He progressed with no complication and became
ready for the orthopaedic surgery in four days,"
said Dr Govani, who has treated four patients from
Iran with similar cysts. Tape worms are transmitted
when fleas that swallowed the worm's eggs from faces
of infected dogs are swallowed by humans. The human
body is not conducive for tape worm. In Zhegir, the
larvae was carrying by the blood stream to the lung
where it developed into a fluid-filled cyst the
compressed his lungs. But what made Zhegir's case
unique was that he had a problem on his spine making
it difficult for the doctors during the surgery.
In the second phase of the surgery, doctors
corrected the malformation between the head and
neck. "It was challenging to put the patient back on
anesthesia as he had just come out of the
ventilator," said Dr K Sridhar, who heads the
department of neurosciences and spine disorders.
Doctors used special equipment to drill the bones
that were compressing the spine through the mouth.
"We then made the patient lie on the stomach, put
plates and screws to fix the neck to the spine," he
said.
In the next 24 hours, Zhegir continued to remain on
a ventilator. But in two days, he sat up in the
intensive care unit bed. After nearly two weeks of
physiotherapy,www.ekurd.net
Zhegir was able to climb stairs. On Tuesday, Zhegir
will take a flight back home. "His parents are happy
that he survived two major surgeries. They don't
have to wheel him around anymore. He can do things
on his own," he said.
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