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A cardiac hydatid cyst mimicking a pericardial tumour in a paediatric case

Taliha Oner1, Oktay Korun2, Ahmet Celebi1

  • 1Department of Pediatric Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.

Cardiology in the Young
|December 5, 2018
PubMed

Insights

Cardiac hydatid cysts are rare, typically affecting the left ventricle. This case highlights a ruptured hydatid cyst presenting as pericardial fluid and a mass, emphasizing its inclusion in pericardial tumor differentials.

Area of Science:

  • Cardiology
  • Parasitology
  • Radiology

Background:

  • Cardiac hydatid cysts are an infrequent manifestation of echinococcosis, with involvement rates below 2%.
  • The left ventricle is the most commonly affected cardiac chamber.
  • Rupture into the pericardium is a rare but critical complication.

Observation:

  • A patient presented with a hydatid cyst that had formed an aneurysm on the right ventricular free wall.
  • The cyst subsequently ruptured into the pericardium.
  • Imaging revealed fibrinated fluid and a solid mass within the pericardial space.

Findings:

  • The ruptured hydatid cyst mimicked a pericardial tumor.
  • The right ventricular aneurysm was a precursor to the pericardial rupture.
  • Histopathological examination confirmed the presence of a hydatid cyst.

Implications:

  • This case underscores the importance of considering hydatid cysts in the differential diagnosis of pericardial masses.
  • Early recognition and diagnosis are crucial for appropriate management of cardiac echinococcosis.
  • Awareness among clinicians can prevent misdiagnosis and delayed treatment of this rare condition.

Keywords:
Pediatric Cardiac Intensive Care SocietyWhite papersintensive carescientific statements

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