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Primary Mediastinal Hydatid Cyst Causing Diaphragmatic Palsy.

Madhusudhan M Gopivallabha1, Akshay Kumar Singh1, Ashwini Kumar Pasarad1

  • 1Sagar Hospitals Banashankari Bengaluru Karnataka India Sagar Hospitals Banashankari, DSI, Shavige Malleshwara Hill, Kumaraswamy Layout, Bengaluru, Karnataka, India.

Brazilian Journal of Cardiovascular Surgery
|June 14, 2019
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Summary

A rare primary mediastinal hydatid cyst caused diaphragmatic palsy. Surgical treatment involving cystectomy and plication successfully resolved the condition in this unique case.

Keywords:
Diaphragmatic PalsyMediastinal CystPulmonary EchinococcosisRecurrent Laryngeal Nerve

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Area of Science:

  • Medical Parasitology
  • Thoracic Surgery
  • Diagnostic Imaging

Background:

  • Hydatid cystic disease is a prevalent parasitic infection in endemic regions, typically affecting the liver and lungs.
  • Primary mediastinal hydatid cysts are exceptionally rare, posing diagnostic challenges, especially in patients presenting with mediastinal masses.

Observation:

  • A rare case of a primary mediastinal hydatid cyst was identified.
  • The cyst caused diaphragmatic palsy due to compression of the left phrenic nerve.

Findings:

  • The mediastinal hydatid cyst was successfully treated with partial cystectomy and capitonnage.
  • Hemidiaphragmatic plication was performed as part of the surgical intervention.

Implications:

  • This case highlights the importance of considering rare diagnoses like mediastinal hydatid cysts in endemic areas.
  • Successful surgical management demonstrates effective treatment options for this rare condition and its complications.