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Incidental finding of cardiac hydatid cysts, report of two cases

Dunya Moghul1, Hidayatullah Hamidi2

  • 1Department of Pediatric Surgery, French Medical Institute for Mothers and Children (FMIC), Kabul, Afghanistan.

BMC Medical Imaging
|August 15, 2018
PubMed

Insights

Cardiac hydatid cysts are rare parasitic infections, often found incidentally in patients from endemic areas. Early diagnosis through imaging and follow-up is crucial for managing this rare condition.

Area of Science:

  • Parasitology
  • Cardiology
  • Radiology

Background:

  • Hydatid disease is a parasitic infection caused by Echinococcus tapeworms.
  • Cardiac involvement in hydatid disease is rare, accounting for less than 2% of cases.
  • Cysts can affect any organ, but liver and lung are most common; cardiac cysts are infrequent and often incidental.

Observation:

  • Two young adults from rural, endemic areas with animal contact presented with shortness of breath and cough.
  • Contrast-enhanced chest computed tomography (CT) identified hydatid cysts in the left ventricular wall, liver, and lungs.
  • These cases highlight the potential for cardiac manifestation of hydatidosis.

Findings:

  • Cardiac hydatid cysts are rare but can occur in endemic regions.
  • Symptoms like shortness of breath and cough may indicate cardiac involvement.
  • CT imaging is valuable for diagnosing co-existing lung and liver hydatid cysts alongside cardiac ones.

Implications:

  • Suspicion of cardiac hydatid cysts is warranted in patients from endemic areas presenting with relevant symptoms.
  • Echocardiographic monitoring of patients with known liver or lung hydatid cysts can aid in early detection.
  • Prompt diagnosis and management are essential for patients with cardiac hydatid disease.
Abstract

Keywords:
Cardiac benign lesionCardiac cystCase reportEchinococcus infectionHydatid cyst

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