Isolated cardiac hydatid cyst mimicking myocardial ischaemia in a female patient

AbstractHydatid disease is a zoonotic parasitic infection endemic in livestock-raising countries. Isolated cardiac hydatid cyst is a very rare disease, and chest pain, palpitations, cough, and dyspnoea are the most common presenting symptoms. Here a case of isolated cardiac hydatid cyst in a female patient with chest pain and electrocardiographic changes mimicking myocardial ischaemia is presented.

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Left ventricular hydatid cyst: an uncommon cause of chest pain in young adults

Cardiology in the Young ◽

10.1017/s1047951112001230 ◽

2012 ◽

Vol 23 (3) ◽

pp. 460-462 ◽

Cited By ~ 1

Author(s):

Ravindranath K. Shankarappa ◽

Nagaraja Moorthy ◽

Prabhavathi Bhat ◽

Manjunath C. Nanjappa

Keyword(s):

Chest Pain ◽

Hydatid Cyst ◽

Hydatid Disease ◽

Cardiac Involvement ◽

Ventricular Myocardium ◽

Acute Onset ◽

Left Ventricular ◽

Left Ventricular Myocardium ◽

Resonance Imaging ◽

Conventional Risk Factors

AbstractIsolated cardiac involvement in hydatid disease is very rare. We report the case of a young adult male who presented to the emergency department with acute onset of chest pain and was surprisingly detected to have a hydatid cyst in the left ventricular myocardium. The transthoracic echocardiography and cardiac magnetic resonance imaging confirmed the diagnosis. Cardiac hydatid disease should be considered in the differential diagnosis of chest pain in young individuals in the absence of conventional risk factors of atherosclerosis.

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Hydatid Disease of the Liver Presenting as Spontaneous Cutaneous Fistula

Sultan Qaboos University Medical Journal [SQUMJ] ◽

10.18295/squmj.8.2021.116 ◽

2021 ◽

Author(s):

Saif Ghabisha ◽

Faisal Ahmed ◽

Saleh Al-Wageeh ◽

Ebrahim Al-Shami ◽

Khalil Al-Naggar ◽

...

Keyword(s):

Case Report ◽

Hydatid Cyst ◽

General Hospital ◽

Female Patient ◽

Liver Surgery ◽

Parasitic Infection ◽

Fistula Tract ◽

Cutaneous Fistula ◽

Rare Presentation ◽

Larval Phase

Hydatid cyst (HD) disease is a parasitic infection produced by cysts containing the Echinococcus granulosus larval phase. Patients with HC are typically asymptomatic until incidentally diagnosed or when complications occur. A rare presentation of liver HC is spontaneous cutaneous fistualization; we report a 63- year-old female patient admitted in the hospital in 2019 (Al-Thora General Hospital, Ibb, Yemen) with an infected cutaneous fistula induced by a ruptured HC. The patient underwent laparotomy and partial cystectomy with excision of the fistula tract. The main purpose of this report is for physicians to consider this diagnosis when they face an unusual cutaneous fistula near HC common involved organs, especially in areas where the prevalence of this disease is high. We also briefly discuss the management and outcome of this disease. Keywords: Case Report; Complications; Cutaneous Fistula; Echinococcosis; Liver; Surgery.

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Rapid Growth of Hydatid Cyst: A Pediatric Case Report

Iranian Journal of Parasitology ◽

10.18502/ijpa.v16i1.5538 ◽

2021 ◽

Author(s):

Mehdi FOROUGHI ◽

Ali BAHADOR ◽

Zahra BEIZAVI

Keyword(s):

Case Report ◽

Hydatid Cyst ◽

Echinococcus Granulosus ◽

Hydatid Disease ◽

Rapid Growth ◽

Pediatric Population ◽

Parasitic Infection ◽

Abdominal Discomfort ◽

Pediatric Case ◽

Worldwide Distribution

Hydatid disease is a parasitic infection caused by Echinococcus granulosus with worldwide distribution. The most affected organs are liver and lungs, but it can be detected in any other organs as well. We reported a 5-yr-old boy from Shiraz, southern Iran in 2017 who presented with abdominal discomfort. Imaging revealed multiple liver hydatid cyst and a huge kidney hydatid cyst. This case showed the possible implication of rapid growth of multiple hydatid cyst as well as unusual organ presentation in the pediatric population.

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Isolated renal hydatid disease: varied presentations, treatments, dilemmas, and the way ahead: case report series

African Journal of Urology ◽

10.1186/s12301-021-00183-5 ◽

2021 ◽

Vol 27 (1) ◽

Author(s):

Ankit Misra ◽

Swarnendu Mandal ◽

Manoj Das ◽

Pritinanda Mishra ◽

Suvradeep Mitra ◽

...

Keyword(s):

Hydatid Cyst ◽

Hydatid Disease ◽

Renal Involvement ◽

Disease Status ◽

Clinical History ◽

Open Approach ◽

Endemic Region ◽

Simple Cyst ◽

Cyst Excision ◽

Presenting Symptoms

Abstract Background Hydatid disease is an infectious disease that affects several organs. Isolated renal involvement is very rare. The treatment for renal hydatid cyst ranges from minimally invasive percutaneous aspiration techniques to laparoscopic and open techniques. We describe five cases of isolated renal hydatidosis with varied presentations who were treated successfully by various methods. Case presentation The presenting symptoms included flank pain (n = 5), mass abdomen (n = 2), and hydaturia (n = 1). In 4 patients, the diagnosis of a hydatid cyst was known preoperatively, but one patient with a preoperative diagnosis of a simple cyst was found to harbor hydatidosis intra-operatively. Eosinophilia as a marker for the active disease was present in 60% (3/5), while echinococcal serology was positive in only 25% (1/4). Two cases were approached laparoscopically, while three required an open approach. Two patients were treated with nephrectomy due to the high bulk of the disease, while the other three underwent renal preserving cyst excision. Conclusions The presence of eosinophilia in the preoperative workup may indicate an infective/active hydatid disease. Echinococcal serology is representative of past hydatid infection but cannot reveal about current disease status. Cysts with varied attenuations and residence in an endemic region may support a renal hydatid cyst diagnosis. A holistic approach including clinical history, laboratory parameters, and imaging is needed for diagnosis. Surgical treatment requires cyst excision, along with precautions to prevent spilling. Nephrectomy may be preferred in cases with minimal residual function.

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Infratemporal hydatid cyst – unusual location of echinococcosis

The Journal of Laryngology & Otology ◽

10.1017/s0022215100127562 ◽

1994 ◽

Vol 108 (7) ◽

pp. 601-603 ◽

Cited By ~ 24

Author(s):

Levent Sennaroḡlu ◽

Metin ÖNercĩ ◽

Ergĩn Turan ◽

Arzu Sungur

Keyword(s):

Hydatid Cyst ◽

Head And Neck ◽

Rare Disease ◽

Hydatid Disease ◽

Infratemporal Fossa ◽

Neck Region ◽

Medical Problem ◽

Treatment Modalities ◽

Head And Neck Region ◽

Unusual Location

AbstractHydatid disease is an important medical problem in countries of the temperate zones. Only occasional cases are reported in the head and neck region. An unusual location for hydatid disease in the infratemporal fossa is presented. Characteristics of this rare disease together with treatment modalities are discussed.

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Faculty Opinions recommendation of Myocardial ischaemia in patients with coronary endothelial dysfunction: insights from body surface ECG mapping and implications for invasive evaluation of chronic chest pain.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.13266956.14620054 ◽

2011 ◽

Author(s):

Juan-Carlos Kaski ◽

Peter Ong

Keyword(s):

Chest Pain ◽

Endothelial Dysfunction ◽

Body Surface ◽

Myocardial Ischaemia ◽

Surface Ecg ◽

Invasive Evaluation ◽

Coronary Endothelial Dysfunction

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Oxford Cases in Medicine and Surgery

10.1093/oso/9780198716228.001.0001 ◽

2015 ◽

Author(s):

Hugo Farne ◽

Edward Norris-Cervetto ◽

James Warbrick-Smith

Keyword(s):

Chest Pain ◽

Case History ◽

Clinical Medicine ◽

Real Life ◽

General Medicine ◽

Diagnostic Approach ◽

History Taking ◽

Presenting Symptoms ◽

Essential Resource ◽

Physiological Systems

Oxford Cases in Medicine and Surgery, second edition, teaches students a logical step-by-step diagnostic approach to common patient presentations. This approach mirrors that used by successful clinicians on the wards, challenging students with questions at each stage of a case (history-taking, examination, investigation, management). In tackling these questions, students understand how to critically analyse information and learn to integrate their existing knowledge to a real-life scenario from start to finish. Each chapter focuses on a common presenting symptom (e.g. chest pain). By starting with a symptom, mirroring real life settings, students learn to draw on their knowledge of different physiological systems - for example, cardiology, respiratory, gastroenterology - at the same time. All the major presenting symptoms in general medicine and surgery are covered, together with a broad range of pathologies. This book is an essential resource for all medicine students, and provides a modern, well-rounded introduction to life on the wards. Ideal for those starting out in clinical medicine and an ideal refresher for those revising for OSCEs and finals.

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Intrabiliary and abdominal rupture of hepatic hydatid cyst leading to biliary obstruction, cholangitis, pancreatitis, peritonitis and septicemia: a case report

Journal of Medical Case Reports ◽

10.1186/s13256-021-02822-5 ◽

2021 ◽

Vol 15 (1) ◽

Author(s):

Manouchehr Aghajanzadeh ◽

Mohammad Taghi Ashoobi ◽

Hossein Hemmati ◽

Pirooz Samidoust ◽

Mohammad Sadegh Esmaeili Delshad ◽

...

Keyword(s):

Abdominal Pain ◽

Hydatid Cyst ◽

Hydatid Disease ◽

Biliary Obstruction ◽

Abdominal Ultrasound ◽

Sporadic Case ◽

Gallbladder Wall ◽

Liver Cyst ◽

Biliary Duct ◽

Wall Thickening

Abstract Background Hydatid cysts are fluid-filled sacs containing immature forms of parastic tapeworms of the genus Echinococcus. The most prevalent and serious complication of hydatid disease is intrabiliary rupture, also known as cystobiliary fistulae. In this study, a sporadic case of biliary obstruction, cholangitis, and septicemia is described secondary to hydatid cyst rupture into the common bile duct and intraperitoneal cavity. Case presentation A 21-year-old Iranian man was admitted to the emergency ward with 5 days of serious sickness and a history of right upper quadrant abdominal pain, fatigue, fever, icterus, vomiting, and no appetite. In the physical examination, abdominal tenderness was detected in all four quadrants and in the scleral icterus. Abdominal ultrasound revealed intrahepatic and extrahepatic biliary duct dilation. Gallbladder wall thickening was normal but was very dilated, and large unilocular intact hepatic cysts were detected in segment IV and another one segment II which had detached laminated membranes and was a ruptured or complicated liver cyst. Conclusion Intrabiliary perforation of the liver hydatid cyst is an infrequent event but has severe consequences. Therefore, when patients complain of abdominal pain, fever, peritonitis, decreased appetite, and jaundice, a differential diagnosis of hydatid disease needs to be taken into consideration. Early diagnosis of complications and aggressive treatments, such as endoscopic retrograde cholangiopancreatography and surgery, are vital.

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Imaging features and surgery-related outcomes in intraventricular neurocysticercosis

Neurosurgical FOCUS ◽

10.3171/foc.2002.12.6.7 ◽

2002 ◽

Vol 12 (6) ◽

pp. 1-8 ◽

Cited By ~ 31

Author(s):

Jonathan Stuart Citow ◽

J. Patrick Johnson ◽

Duncan Q. McBride ◽

Mario Ammirati

Keyword(s):

Magnetic Resonance ◽

Mr Imaging ◽

Computerized Tomography ◽

Failure Rate ◽

Treatment Algorithm ◽

Parasitic Infection ◽

Mass Effect ◽

The United States ◽

Imaging Features ◽

Presenting Symptoms

Object Neurocysticercosis (NCC) is the most common parasitic infection of the central nervous system, and its prevalence is continuing to increase in the United States. The diagnosis of intraventricular NCC (IVNCC) may be difficult, and surgery frequently fails to resolve symptoms. A retrospective review of magnetic resonance (MR) imaging characteristics and surgery-related outcomes may improve management strategies of this disease. Methods The authors report the presentations, neuroimaging characteristics, surgical management, and outcomes of 30 patients with IVNCC treated over a 10-year period (mean follow-up period 4 years). Cysts were located in the lateral ventricles (five cases), the third ventricle (five cases), and the fourth ventricle (21 cases). One patient had lesions in both the lateral and fourth ventricles. Presenting symptoms were related to hydrocephalus or mass effect from the lesions. All patients underwent computerized tomography (CT) and MR imaging of the brain. Treatment consisted of shunt implantation or primary excision of an IVNCC lesion. Outcomes after operations and reoperations were evaluated in light of enhancement characteristics on MR imaging. Computerized tomography scanning demonstrated IVNCC lesions in 10% of cases, and MR revealed lesions in 100% of cases. In patients in whom gadolinium (Gd) enhancement of IVNCC lesions was demonstrated on MR imaging, the surgery-related failure rate was higher and patients required reoperation, and in those in whom gadolinium enhancement was absent the surgery-related failure rate was lower (64 and 19%, respectively; p < 0.0002). Conclusions Magnetic resonance imaging is superior to CT scanning for detecting IVNCC lesions. The absence of pericystic Gd enhancement on MR imaging is an indication for excision of the lesions. If pericystic enhancement is present, shunt surgery should be performed, and craniotomy reserved for treatment of those patients with symptomatic lesions secondary to mass effect. A treatment algorithm based on patient symptoms, cyst location, and MR imaging Gd enhancement characteristics is proposed.

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