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Şimşek S, Akgül Özmen C. Unusual imaging characteristics of thoracic hydatid disease. Radiol Bras 2022; 55:128-133. [PMID: 35414729 PMCID: PMC8993172 DOI: 10.1590/0100-3984.2021.0041] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2021] [Accepted: 04/30/2021] [Indexed: 11/21/2022] Open
Abstract
Abstract Cystic echinococcosis (hydatid disease) is a zoonotic parasitic disease, caused by ingestion of Echinococcus granulosus eggs, that can result in cyst formation anywhere on the body. Hydatid disease is frequently seen in regions where there is human-animal contact and poor socioeconomic development. The prevalence of the disease ranges from 0 to 79 cases/100,000 population. Hydatid cysts are typically found in the liver and lungs, being less common in other parts of the body. Computed tomography or magnetic resonance imaging is often used in order to clarify the sites affected by a hydatid cyst, such as the cranial and thoracic regions, which also facilitates the surgical evaluation and minimizes complications. Although rare, hydatid cysts in atypical locations can provoke unusual complications, with unpredictable findings and symptoms. This essay discusses the radiological aspects of rare thoracic hydatid cysts.
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Aili A, Peng L, Zhang J, Liu Y, Peng L, Yi Q, Zhou H. Hydatid Pulmonary Embolism: A Case Report and Literature Review. AMERICAN JOURNAL OF CASE REPORTS 2021; 22:e934157. [PMID: 34845180 PMCID: PMC8646948 DOI: 10.12659/ajcr.934157] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Patient: Female, 58-year-old
Final Diagnosis: Pulmonary embolism caused by hydatid cyst
Symptoms: Chest and back pain • hemoptysis • shortness of breath
Medication:—
Clinical Procedure: —
Specialty: Infectious Diseases • Pulmonology • Radiology
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Affiliation(s)
- Adila Aili
- Department of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, China (mainland)
| | - Liqing Peng
- Department of Radiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China (mainland)
| | - Jiarui Zhang
- Department of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, China (mainland)
| | - Yu Liu
- Department of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, China (mainland)
| | - Lige Peng
- Department of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, China (mainland)
| | - Qun Yi
- Department of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, China (mainland)
| | - Haixia Zhou
- Department of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, China (mainland)
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Erkilinç A, Ermerak NO, Zengin A, Olgun Yildizeli Ş, Mutlu BL, Karakoç AZ, Yanartaş M, Taş S, Bozkurtlar E, Sunar H, Yildizeli B. Is There Any Role of Pulmonary Endarterectomy in Pulmonary Arterial Hydatidosis? Ann Thorac Surg 2021; 114:2093-2099. [PMID: 34843694 DOI: 10.1016/j.athoracsur.2021.10.035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/06/2021] [Revised: 10/04/2021] [Accepted: 10/19/2021] [Indexed: 10/19/2022]
Abstract
BACKGROUND Hydatid Cyst is a zoonosis caused by Echinococcus granulosis. Pulmonary artery involvement is a rare condition. The aim of this study was to review our experience in the surgical treatment of pulmonary arterial hydatidosis. METHODS Data were collected prospectively for consecutive patients who underwent pulmonary endarterectomy and had a diagnosis of hydatidosis at or after surgery. RESULTS Eight patients (two male, six female, mean age, 31.25±13.68 years) with hydatidosis were defined. Only one patient presented with hemoptysis, while the rest of the patients reported exertional dyspnea as their main symptom. Cardiac hydatidosis associated with pulmonary arterial involvement was noted in one patient. The mean time interval for duration of disease was 12±24.29 months before PEA. Mortality was observed in two patients due to massive hemoptysis in one and right heart failure in one. No anaphylactic reaction was observed. Significant difference was detected in mean pulmonary vascular resistance as decline from 442.38±474.20 to 357.25±285.34 dyn/s/cm-5 following surgery (p: 0.011). Two patients had recurrence of the disease following a median follow-up of 9.1 months All survivors improved to New York Heart Association functional class I and II. CONCLUSIONS Pulmonary arterial hydatidosis may mimic chronic thromboembolic pulmonary hypertension and these patients can be diagnosed with pulmonary endarterectomy. Surgery may be a therapeutic option for patients who do not respond to medical therapy if the cystic lesions are surgically accessible. Pulmonary endarterectomy should be performed only in expert centers because of the high risk of perioperative morbidity, mortality, and postoperative recurrence.
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Affiliation(s)
- Atakan Erkilinç
- University of Health Sciences, Kartal Koşuyolu Teaching and Education Hospital, Department of Anesthesia, Istanbul, Turkey
| | - Nezih Onur Ermerak
- Marmara University School of Medicine, Department of Thoracic Surgery, Istanbul, Turkey
| | - Ahmet Zengin
- University of Health Sciences, Kartal Koşuyolu Teaching and Education Hospital, Department of Cardiovascular Surgery, Istanbul, Turkey
| | - Şehnaz Olgun Yildizeli
- Marmara University School of Medicine, Department of Department of Pulmonology and Intensive Care, Istanbul, Turkey
| | - Bu Lent Mutlu
- Marmara University School of Medicine, Department of Cardiology, Istanbul, Turkey
| | - Ayşe Zehra Karakoç
- University of Health Sciences, Kartal Koşuyolu Teaching and Education Hospital, Department of Cardiovascular Surgery, Istanbul, Turkey
| | - Mehmed Yanartaş
- University of Health Sciences, Kartal Koşuyolu Teaching and Education Hospital, Department of Cardiovascular Surgery, Istanbul, Turkey
| | - Serpil Taş
- University of Health Sciences, Kartal Koşuyolu Teaching and Education Hospital, Department of Cardiovascular Surgery, Istanbul, Turkey
| | - Emine Bozkurtlar
- Marmara University School of Medicine, Department of Pathology, Istanbul, Turkey
| | - Hasan Sunar
- University of Health Sciences, Kartal Koşuyolu Teaching and Education Hospital, Department of Cardiovascular Surgery, Istanbul, Turkey
| | - Bedrettin Yildizeli
- Marmara University School of Medicine, Department of Thoracic Surgery, Istanbul, Turkey.
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4
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El Hadj Sidi C, Mgarrech I, Alimi F, Tarmiz A. Four pathways for hydatid pulmonary embolism. J Card Surg 2020; 35:1877-1884. [PMID: 32652654 DOI: 10.1111/jocs.14754] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
INTRODUCTION Hydatid pulmonary embolism (HPE) is rare but remains an etiology that needs to be considered and kept in mind, especially in endemic areas, as regards nonthrombotic embolism. METHODS Between 2000 and 2014, 10 patients were treated in our department for the presence of hydatid material in the pulmonary arterial circulation. Through these 10 cases, we try to assess the radioclinical characteristics and results of the surgical treatment. RESULTS The study included six men and four women, average age 28 years. Discovery of HPE was made following the exploration of cardiorespiratory symptoms in nine cases and was incidental in a single patient. Computed tomography angiography (CTA) of the chest directly visualized the hydatid material in the pulmonary arteries in nine cases. Surgery consisted of an embolectomy under cardiopulmonary bypass in nine cases. This embolectomy was preceded by the treatment of an embolic hydatid cyst (HC) in seven cases (HCs of the right heart chambers in six cases and a liver HC ruptured in the inferior vena cava in one case), whereas for only one patient, who presented a HC pedunculated in the right ventricle and protruding into the pulmonary artery, the cure of the cardiac location was sufficient. Only one patient died on the third postoperative day. CONCLUSION Endoluminal hydatid involvement of pulmonary arteries is extremely rare. CTA chest has an important contribution to the positive diagnosis. Treatment is surgical when the patient's condition allows it.
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Affiliation(s)
- Chighaly El Hadj Sidi
- Department of Cardiovascular and Thoracic Surgery, Sahloul University Hospital, Sousse, Tunisia
| | - Imen Mgarrech
- Department of Cardiovascular and Thoracic Surgery, Sahloul University Hospital, Sousse, Tunisia
| | - Faouzi Alimi
- Department of Cardiovascular and Thoracic Surgery, Sahloul University Hospital, Sousse, Tunisia
| | - Amine Tarmiz
- Department of Cardiovascular and Thoracic Surgery, Sahloul University Hospital, Sousse, Tunisia
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5
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Case Report of Hydatid Cyst in the Pulmonary Artery Uncommon Presentation: CT and MRI Findings. Case Rep Radiol 2018; 2018:1301072. [PMID: 29862110 PMCID: PMC5976941 DOI: 10.1155/2018/1301072] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2018] [Revised: 03/21/2018] [Accepted: 04/08/2018] [Indexed: 11/17/2022] Open
Abstract
Background Hydatid cysts can be found in any organ. In adults, the liver and lungs are the most common locations; hydatid cysts in the pulmonary artery are rare. Clinical Case We present the case of an 86-year-old female with a history of hepatic hydatid cyst since 2012, who presented with complaints of chronic productive cough, yellowish-green sputum, and dyspnea. CT and MRI showed multiseptate hydatid cysts in the right pulmonary artery.
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6
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Orhan G, Bastopcu M, Aydemir B, Ersoz MS. Intracardiac and pulmonary artery hydatidosis causing thromboembolic pulmonary hypertension. Eur J Cardiothorac Surg 2017; 53:689-690. [DOI: 10.1093/ejcts/ezx330] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/25/2017] [Accepted: 08/20/2017] [Indexed: 11/13/2022] Open
Affiliation(s)
- Gökçen Orhan
- Department of Cardiovascular Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
| | - Murat Bastopcu
- Department of Cardiovascular Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
| | - Bülent Aydemir
- Department of Thoracic Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
| | - Mehmet Sait Ersoz
- Department of Thoracic Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
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Şahpaz A, İrez A, Gülbeyaz H, Şener MT, Kök AN. Non-thrombotic Pulmonary Embolism Due to Liver Hydatic Cyst: A Case Report. Balkan Med J 2017; 34:275-277. [PMID: 28443563 PMCID: PMC5450869 DOI: 10.4274/balkanmedj.2016.0391] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
Background: A non-thrombotic pulmonary embolism is defined as embolization to the pulmonary circulation. It may be caused by microorganisms, foreign bodies, different cell types or gas in the pulmonary circulation. Pulmonary hydatid cyst-induced embolization is a rare complication of heart or liver hydatid cysts. Case Report: We describe the fatal case of a 15-year-old boy without any known prior illness who was admitted to the hospital after feeling unwell and dropping to the ground while playing ball. During the autopsy, a lesional mass, with dimensions of 13x6 cm, was observed in the left lobe of the liver. The histomorphological examination of pulmonary sections showed scolices observed in pulmonary vessel lumina, thus a non-thrombosis hydatid embolism was diagnosed. Based on the findings, the cause of death was recorded as a non-thrombotic hydatid embolism. Conclusion: The present case is interesting because a non-thrombotic pulmonary embolism rarely results in sudden death, and a definitive diagnosis was possible only by a histopathological examination.
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Affiliation(s)
- Ahmet Şahpaz
- Department of Histopathology, Erzurum Branch of Council of Forensic Medicine, Erzurum, Turkey
| | - Azem İrez
- Department of Autopsy, Erzurum Branch of Council of Forensic Medicine, Erzurum, Turkey
| | - Hatice Gülbeyaz
- Department of Autopsy, Erzurum Branch of Council of Forensic Medicine, Erzurum, Turkey
| | - Mustafa Talip Şener
- Department of Forensic Medicine, Atatürk University School of Medicine, Erzurum, Turkey
| | - Ahmet Nezih Kök
- Department of Forensic Medicine, Atatürk University School of Medicine, Erzurum, Turkey
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8
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Maiouak S, Zaghba N, Benjelloun H, Yassine N. [Pulmonary arterial hydatidosis: About three cases]. REVUE DE PNEUMOLOGIE CLINIQUE 2016; 72:152-155. [PMID: 26651933 DOI: 10.1016/j.pneumo.2015.09.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/06/2015] [Accepted: 09/28/2015] [Indexed: 06/05/2023]
Affiliation(s)
- S Maiouak
- Service de pneumologie et des maladies respiratoires du CHU Ibn Rochd de Casablanca, Casablanca, Maroc.
| | - N Zaghba
- Service de pneumologie et des maladies respiratoires du CHU Ibn Rochd de Casablanca, Casablanca, Maroc
| | - H Benjelloun
- Service de pneumologie et des maladies respiratoires du CHU Ibn Rochd de Casablanca, Casablanca, Maroc
| | - N Yassine
- Service de pneumologie et des maladies respiratoires du CHU Ibn Rochd de Casablanca, Casablanca, Maroc
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9
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Senturk A, Er M, Karalezli A, Yakut ZI, Soyturk AN, Cetin H, Canan Hasanoglu H. A case of pulmonary artery hydatid cyst observed on endobronchial ultrasound. IRANIAN JOURNAL OF RADIOLOGY 2015; 12:e15995. [PMID: 25793087 PMCID: PMC4349105 DOI: 10.5812/iranjradiol.15995] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/05/2013] [Revised: 02/17/2014] [Accepted: 03/19/2014] [Indexed: 11/17/2022]
Abstract
Hydatid cyst (HC) is a parasitic disease that may involve many organs, especially the lung and the liver. Pulmonary artery location of the hydatid cyst is extremely rare, but it may cause life-threatening complications. We report a case of a hydatid cyst that completely filled the left main pulmonary artery and its distal part without cardiac involvement. Thoracic computed tomography showed filling defects in the pulmonary arteries. Endobronchial ultrasound was performed for differential diagnosis and it showed a cystic lesion. Hydatid cyst-specific IgE and hem agglutination test results were positive. In the literature, cases like this in which the diagnosis of pulmonary hydatid cyst is made by endobronchial ultrasound are not usually seen. Although many imaging modalities such as plain chest radiography, cross-sectional imaging (MDCT and MRI), echocardiography and conventional pulmonary angiography have been used in the diagnostic approach, we recommend endobronchial ultrasound for the differential diagnosis of cases with cystic formation.
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Affiliation(s)
- Aysegul Senturk
- Department of Pulmonary Diseases, Ankara Ataturk Training and Research Hospital, Ankara, Turkey
- Corresponding author: Aysegul Senturk, Department of Pulmonary Diseases, Ankara Ataturk Training and Research Hospital, Ankara, Turkey. Tel: +90-3122912525, Fax: +90-3122912527, E-mail:
| | - Mukremin Er
- Department of Pulmonary Diseases, Ankara Ataturk Training and Research Hospital, Ankara, Turkey
| | - Aysegul Karalezli
- Department of Pulmonary Diseases, Ankara Ataturk Training and Research Hospital, Ankara, Turkey
| | - Zeynep Ilerisoy Yakut
- Department of Radiology, Ankara Ataturk Training and Research Hospital, Ankara, Turkey
| | - Ayse Nur Soyturk
- Department of Pulmonary Diseases, Ankara Ataturk Training and Research Hospital, Ankara, Turkey
| | - Huseyin Cetin
- Department of Radiology, Ankara Ataturk Training and Research Hospital, Ankara, Turkey
| | - Hatice Canan Hasanoglu
- Department of Pulmonary Diseases, Yildirim Beyazit University of Medicine, Ankara, Turkey
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10
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Serraj M, Smahi M, Kamaoui I, El Houari A, Sahnoune F, Ouadnouni Y, Amara B, El Biaze M, Tizniti S, Benjelloun MC. [Hydatic pulmonary embolism: a rare complication of hepatic hydatid cyst]. Rev Mal Respir 2013; 30:215-21. [PMID: 23497931 DOI: 10.1016/j.rmr.2012.06.004] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2011] [Accepted: 03/18/2012] [Indexed: 11/17/2022]
Abstract
Hepato-pulmonary hydatidosis is a parasitic disease common in Mediterranean countries. Hydatid pulmonary embolism is extremely rare and is due to rupture of a cardiac hydatid cyst or, more rarely, rupture of a hepatic hydatid cyst. We report three cases of hydatid pulmonary embolism secondary to rupture of a hydatid cyst into the inferior vena cava. Thoracic imaging, mainly CT angiography and MRI, was important for both the diagnosis and decisions on treatment. The prognosis of intra-arterial pulmonary hydatid cyst is poor because of the risk of acute fatal complications such as anaphylactic shock and vascular rupture and also of chronic progression to cor pulmonale and respiratory failure. The therapeutic management is difficult and often only partially effective hence the importance of focusing on preventative treatment.
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Affiliation(s)
- M Serraj
- Service de pneumologie, CHU Hassan II, BP 5552, 30006 Fès Sidi Brahim, Fès, Maroc.
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11
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Pena E, Dennie C, Franquet T, Milroy C. Nonthrombotic Pulmonary Embolism: A Radiological Perspective. Semin Ultrasound CT MR 2012; 33:522-34. [DOI: 10.1053/j.sult.2012.05.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
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12
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Recurrent pulmonary embolism due to echinococcosis secondary to hepatic surgery for hydatid cysts. J Comput Assist Tomogr 2012; 36:534-5. [PMID: 22992602 DOI: 10.1097/rct.0b013e318264e618] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
We describe the case of a 53-year-old man with recurrent pulmonary embolism due to intra-arterial cysts from Echinococcus. Both the patient's medical history and the computed tomographic (CT) scan abnormalities led to the diagnosis. The CT scan, performed during hospitalization in our ward, showed cystic masses in the left main pulmonary artery and in the descending branch of the right pulmonary artery. Within cystic masses, thin septa were visible, giving a chambered appearance, which was suggestive of a group of daughter cysts. In the past, our patient underwent multiple operations for recurring echinococcal cysts of the liver. After the last intervention, 4 years earlier, his postoperative course was complicated by pulmonary embolism: a CT scan showed a filling defect in the descending branch of the right pulmonary artery, which was caused by the same cystic mass as 4 years later, although smaller. This mass, not properly treated, increased in diameter. Moreover, after 4 years, there has been a new episode of embolism, which involved the left main pulmonary artery. This is the first case in which there are repeated episodes of pulmonary embolism echinococcosis after hepatic surgery for removal of hydatid cysts.
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13
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Salem R, Zrig A, Joober S, Trimech T, Harzallah W, Jellali MA, Mnari W, Saad J, Hmida B, Elkamel A, Golli M. Pulmonary embolism in echinococcosis: two case reports and literature review. ANNALS OF TROPICAL MEDICINE AND PARASITOLOGY 2011; 105:85-9. [PMID: 21294952 DOI: 10.1179/136485911x12899838413466] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Affiliation(s)
- R Salem
- Department of Medical Imaging, Fattouma Bourguiba University Hospital, Monastir, Tunisia.
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Akgun V, Battal B, Karaman B, Ors F, Deniz O, Daku A. Pulmonary artery embolism due to a ruptured hepatic hydatid cyst: clinical and radiologic imaging findings. Emerg Radiol 2011; 18:437-9. [PMID: 21494880 DOI: 10.1007/s10140-011-0953-8] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2010] [Accepted: 03/26/2011] [Indexed: 12/11/2022]
Abstract
Hydatid pulmonary embolism is an uncommon condition resulting from the rupture of a hydatid heart cyst or the opening of a visceral hydatid cyst into the venous circulation. We report a rare case with multiple intra-arterial pulmonary hydatid cyst emboli originating from a hepatic hydatid cyst ruptured into the hepatic segment of the inferior vena cava. We present the ultrasonography findings of hepatic hydatid cyst and multidetector computed tomography pulmonary angiography images demonstrating both multiple hydatid cyst emboli and their hepatic origin.
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Affiliation(s)
- Veysel Akgun
- Department of Radiology, Gulhane Military Medical School, 06018 Etlik, Ankara, Turkey
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15
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Menassa-Moussa L, Braidy C, Riachy M, Tabet G, Smayra T, Haddad-Zebouni S, Ghossain M, Aoun N. [Hydatid disease diagnosed following a pulmonary embolism]. ACTA ACUST UNITED AC 2009; 34:354-7. [PMID: 19615835 DOI: 10.1016/j.jmv.2009.04.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2009] [Accepted: 04/29/2009] [Indexed: 10/20/2022]
Abstract
Hydatidosis is a parasitic disease found worldwide, particularly in Mediterranean countries, caused by Echinococcus granulosis infection. Humans are an intermediate and accidental host in the cycle of this parasite. The hydatid pulmonary arterial embolism is extremely rare, usually arising in the heart or the liver. We report a case of hydatid pulmonary embolism explored with multidetector scanner and MRI, and confirmed at pathology of the operative specimen. To our knowledge, this is the first case of inaugural hydatid pulmonary arterial embolism found on CT scan establishing the diagnosis of the disease in a patient who had no other location of hydatid cyst.
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Affiliation(s)
- L Menassa-Moussa
- Service de radiologie, Hôtel-Dieu de France, boulevard Alfred-Naccache, Achrafieh, BP 16-6830, Beirut, Liban
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16
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Bayraktaroglu S, Ceylan N, Savaş R, Nalbantgil S, Alper H. Hydatid disease of right ventricle and pulmonary arteries: a rare cause of pulmonary embolism--computed tomography and magnetic resonance imaging findings (2009: 5b). Eur Radiol 2009; 19:2083-6. [PMID: 19578922 DOI: 10.1007/s00330-008-1165-9] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2008] [Revised: 07/26/2008] [Accepted: 07/30/2008] [Indexed: 12/13/2022]
Abstract
Hydatid disease can occur anywhere in the body and can demonstrate different imaging features that vary according to growth stage, associated complications, and affected tissue. Cardiovascular system involvement of hydatid disease is very rare. In this article, we present the cardiac magnetic resonance (MR) and thorax computed tomography (CT), MR angiography (MRA) findings of hydatid cysts located in the right ventricle and pulmonary arteries after surgical removal of hepatic hydatid cysts.
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Affiliation(s)
- Selen Bayraktaroglu
- Department of Radiology, Ege University Hospital, Bornova, Izmir, 35100, Turkey.
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17
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Solución del caso 7. Hidatidosis intravascular pulmonar. RADIOLOGIA 2009; 51:441-3. [DOI: 10.1016/j.rx.2008.10.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2008] [Accepted: 10/29/2008] [Indexed: 11/20/2022]
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18
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19
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Ozturk E, Ozturk A, Zeyrek F, Demirbag R, Temamogullari AV. Recurrent Pulmonary Microemboli Secondary to Primary Cardiac Hydatidosis. Heart Lung Circ 2007; 16:457-9. [PMID: 17314071 DOI: 10.1016/j.hlc.2006.10.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2004] [Revised: 09/28/2006] [Accepted: 10/01/2006] [Indexed: 11/20/2022]
Abstract
Primary cardiac hydatid cysts are rarely diagnosed and seldom rupture to lungs via pulmonary vein resulting in multifocal cystic lesions. We report a rare instance of an interventricular hydatid cyst. A 19-year-old patient was admitted with dyspnea and multiple homogenous opacities with different sizes in his chest X-ray and contrast enhanced thorax computed tomography. We considered recurrent pulmonary microemboli, although neither systemic embolisation nor intravascular cyst of pulmonary arteries was detected. Due to extensive distribution of the pulmonary cysts, only the cardiac cyst was taken surgically. The patient remains in our care without any pulmonary improvement despite appropriate medical treatment.
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Affiliation(s)
- Ebru Ozturk
- Ozel Dünya Hastanesi Radyoloji Bolumu, Sanliurfa, Turkey
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20
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Mahouachi R, Berraies A, Taktak S, Chtourou A, Ben Kheder A. Pulmonary hydatid cyst embolization successfully treated with albendazole. ACTA ACUST UNITED AC 2007. [DOI: 10.1016/j.rmedx.2007.09.012] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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21
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Tercan F, Kacar N, Kilic D, Oguzkurt L, Turkoz R, Habesoglu MA. Hydatid cysts of the bilateral pulmonary arteries and left ventricle wall: computed tomography and magnetic resonance imaging findings. J Comput Assist Tomogr 2005; 29:31-3. [PMID: 15665679 DOI: 10.1097/01.rct.0000153405.09602.c5] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Echinococcal cysts located inside the pulmonary artery are extremely rare. The cause is usually rupture of intracardiac cysts or, more rarely, dissemination from a hepatic focus. The case of a 39-year-old patient with multiple hydatid cysts in the right and left pulmonary arteries and left ventricle wall is reported. The patient had undergone surgery for a hepatic hydatid cyst 10 years ago. Multidetector computed tomography angiography and magnetic resonance imaging were performed for the diagnostic evaluation.
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Affiliation(s)
- Fahri Tercan
- Department of Radiology, Adana Teaching and Medical Research Center, Baskent University, Adana, Turkey
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