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Baykan AH, Aydin E, Koc M, Sahin H, Karul A, Baykan ME, Ikizceli T, Erturk SM. Hydatid disease: imaging, treatment, and beyond. Clin Radiol 2025; 80:106748. [PMID: 39631363 DOI: 10.1016/j.crad.2024.106748] [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: 08/22/2024] [Revised: 11/02/2024] [Accepted: 11/04/2024] [Indexed: 12/07/2024]
Abstract
Hydatidosis is an endemic parasitic disease that can occur in almost any part of the body. It presents in two different forms according to the type of tapeworm: Echinococcus granulosus (hydatid disease [HD]) and Echinococcus multilocularis (alveolar HD). Radiological imaging can reveal the type of cyst, disease activity and progression, and complications, with features depending on the HD stage, the organ involved, and complications. Radiological imaging is also used to plan treatment strategies and evaluate patients at follow-up. Here, we review the morphologies of different HD presentations and their radiological features, the diagnostic findings that suggest possible HD in rare sites, and the potential complications of HD. We also discuss the role of radiology in hydatidosis diagnosis and treatment.
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Affiliation(s)
- A H Baykan
- Adiyaman University Faculty of Medicine, Department of Radiology, Adiyaman, Turkey.
| | - E Aydin
- Department of Radiology, Tepecik Training and Research Hospital, 35110, Yenisehir, Izmir, Turkey.
| | - M Koc
- Firat University Faculty of MedicineDepartment of Radiology, Elazig, Turkey.
| | - H Sahin
- Department of Radiology, Tepecik Training and Research Hospital, 35110, Yenisehir, Izmir, Turkey.
| | - A Karul
- Adiyaman University Faculty of Medicine, Department of Radiology, Adiyaman, Turkey.
| | - M E Baykan
- Haci Omer Tarman High School, Ankara, Turkey.
| | - T Ikizceli
- University of Health Sciences, Department of Radiology, Istanbul, Turkey.
| | - S M Erturk
- Istanbul University Faculty of Medicine, Department of Radiology, Istanbul, Turkey.
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Essolaymany Z, Amara B, Khacha A, El Bouardi N, Haloua M, Alaoui Lamrani MY, Boubbou M, Serraj M, Maâroufi M, Alami B. Hydatid pulmonary embolism underlying cardiac hydatid cysts - A case report. Respir Med Case Rep 2023; 44:101856. [PMID: 37388239 PMCID: PMC10302506 DOI: 10.1016/j.rmcr.2023.101856] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2023] [Revised: 04/22/2023] [Accepted: 04/23/2023] [Indexed: 07/01/2023] Open
Abstract
Cystic hydatidosis is an endemic parasitic disease with usual localization in liver and lungs. Rarely it localizes in uncommon sites, the right ventricle being an exceptional localization. We present an extremely rare case of a young man with hydatid pulmonary embolism complicating right-ventricle hydatid cysts. Echocardiography, CT pulmonary angiogram and MR-angiography were performed for the diagnostic evaluation. Our patient did not undergo surgery. He was discharged on a regimen of albendazole, and is still being followed-up. Hydatid disease rarely presents with pulmonary embolism. It has uncharacteristic clinical features, requiring particular diagnosis and therapy.
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Affiliation(s)
- Zineb Essolaymany
- Radiology Department, CHU Hassan II, Fez, Morocco
- Faculty of Medicine and Pharmacy of Fez, University Sidi Mohammed Ben Abdellah, Morocco
| | - Bouchra Amara
- Faculty of Medicine and Pharmacy of Fez, University Sidi Mohammed Ben Abdellah, Morocco
- Department of Pneumology and Phtiseology, CHU Hassan II, Fez, Morocco
| | - Anass Khacha
- Radiology Department, CHU Hassan II, Fez, Morocco
- Faculty of Medicine and Pharmacy of Fez, University Sidi Mohammed Ben Abdellah, Morocco
| | - Nizar El Bouardi
- Radiology Department, CHU Hassan II, Fez, Morocco
- Faculty of Medicine and Pharmacy of Fez, University Sidi Mohammed Ben Abdellah, Morocco
| | - Meriem Haloua
- Faculty of Medicine and Pharmacy of Fez, University Sidi Mohammed Ben Abdellah, Morocco
- Radiology Department of Mother and Child, CHU Hassan II, Fez, Morocco
| | - Moulay Youssef Alaoui Lamrani
- Radiology Department, CHU Hassan II, Fez, Morocco
- Faculty of Medicine and Pharmacy of Fez, University Sidi Mohammed Ben Abdellah, Morocco
| | - Meryem Boubbou
- Faculty of Medicine and Pharmacy of Fez, University Sidi Mohammed Ben Abdellah, Morocco
- Radiology Department of Mother and Child, CHU Hassan II, Fez, Morocco
| | - Mounia Serraj
- Faculty of Medicine and Pharmacy of Fez, University Sidi Mohammed Ben Abdellah, Morocco
- Department of Pneumology and Phtiseology, CHU Hassan II, Fez, Morocco
| | - Mustapha Maâroufi
- Radiology Department, CHU Hassan II, Fez, Morocco
- Faculty of Medicine and Pharmacy of Fez, University Sidi Mohammed Ben Abdellah, Morocco
| | - Badreeddine Alami
- Radiology Department, CHU Hassan II, Fez, Morocco
- Faculty of Medicine and Pharmacy of Fez, University Sidi Mohammed Ben Abdellah, Morocco
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Saeedan MB, Aljohani IM, Alghofaily KA, Loutfi S, Ghosh S. Thoracic hydatid disease: A radiologic review of unusual cases. World J Clin Cases 2020; 8:1203-1212. [PMID: 32337194 PMCID: PMC7176618 DOI: 10.12998/wjcc.v8.i7.1203] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/25/2019] [Revised: 01/24/2020] [Accepted: 03/22/2020] [Indexed: 02/05/2023] Open
Abstract
Hydatid disease or echinococcosis is a zoonotic parasitic disease. The lung is the second most commonly affected organ after the liver. Intra-thoracic and extra-pulmonary hydatid disease is uncommon and may involve the pleura, mediastinum, heart, diaphragm, and chest wall. Unusual locations or complications of thoracic hydatid disease may pose a diagnostic challenge. We present imaging findings of cases with unusual location and presentations of thoracic hydatid disease with emphasis on their clinical implications.
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Affiliation(s)
- Mnahi Bin Saeedan
- Department of Radiology, King Faisal Specialist Hospital and Research Center, King Faisal Specialist Hospital and Research Center, Riyadh 11211, Saudi Arabia
| | - Ibtisam Musallam Aljohani
- Department of Radiology, King Faisal Specialist Hospital and Research Center, King Faisal Specialist Hospital and Research Center, Riyadh 11211, Saudi Arabia
| | - Khalefa Ali Alghofaily
- Medical Imaging Department, Qassim University, College of Medicine, Buraydah 52571, Saudi Arabia
| | - Shukri Loutfi
- Medical Imaging Department, Chest Radiology Section, King Abdulaziz Medical City, Riyadh 12746, Saudi Arabia
| | - Subha Ghosh
- Imaging Institute, Section of Thoracic Imaging, Cleveland Clinic, Cleveland, OH 44195, United States
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Invasive pericardial hydatid cyst: Excision of multiple huge cysts. J Saudi Heart Assoc 2016; 29:53-56. [PMID: 28127219 PMCID: PMC5247296 DOI: 10.1016/j.jsha.2016.06.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2016] [Revised: 04/28/2016] [Accepted: 06/08/2016] [Indexed: 11/29/2022] Open
Abstract
Cardiac hydatid cyst is rare even in endemic countries, and poses a therapeutic challenge due to varying presentation and unpredictable pre-, peri-, and postoperative complications. We herein present a case of multiple, multifocal, huge pericardial hydatid cyst, with invasion into the left ventricle and main pulmonary artery in a young male patient, presented with atypical chest pain.
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5
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Pulmonary Embolism Originating from a Hepatic Hydatid Cyst Ruptured into the Inferior Vena Cava: CT and MRI Findings. Case Rep Radiol 2016; 2016:3589812. [PMID: 26904344 PMCID: PMC4745290 DOI: 10.1155/2016/3589812] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2015] [Accepted: 01/10/2016] [Indexed: 11/18/2022] Open
Abstract
Pulmonary embolism due to hydatid cysts is a very rare clinical entity. Hydatid pulmonary embolism can be distinguished from other causes of pulmonary embolism with contrast-enhanced computed tomography (CECT) and magnetic resonance imaging (MRI). MRI especially displays the cystic nature of lesions better than CECT. Here we report a 45-year-old male patient with the pulmonary embolism due to ruptured hydatid liver cyst into the inferior vena cava.
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Sharma P, Lakhia K, Malhotra A, Garg P. Ruptured intracardiac hydatid cyst presenting as acute coronary syndrome. Asian Cardiovasc Thorac Ann 2015; 24:587-9. [DOI: 10.1177/0218492315589196] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Hydatid disease is a parasitic infection caused by the larvae of Echinococcus granulosus, which is still endemic in many developing countries. Cardiac involvement is rare but potentially very serious on account of various clinical presentations and nonspecific symptoms that occasionally mimic acute coronary syndrome. We describe a case of ruptured left ventricular hydatid cyst presenting as acute inferolateral myocardial infarction with electrocardiographic changes. Because coronary angiography revealed normal coronary arteries, the final diagnosis was made on the basis of echocardiography and magnetic resonance imaging. On-pump surgical resection followed by albendazole therapy yielded an excellent outcome.
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Affiliation(s)
- Pranav Sharma
- Department of Cardiovascular and Thoracic Surgery, UN Mehta Institute of Cardiology and Research Center, Asarwa, Ahmedabad, India
| | - Ketav Lakhia
- Department of Cardiovascular and Thoracic Surgery, UN Mehta Institute of Cardiology and Research Center, Asarwa, Ahmedabad, India
| | - Amber Malhotra
- Department of Cardiovascular and Thoracic Surgery, UN Mehta Institute of Cardiology and Research Center, Asarwa, Ahmedabad, India
| | - Pankaj Garg
- Department of Cardiovascular and Thoracic Surgery, UN Mehta Institute of Cardiology and Research Center, Asarwa, Ahmedabad, India
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Namn Y, Maldjian PD. Hydatid cyst embolization to the pulmonary artery: CT and MR features. Emerg Radiol 2013; 20:565-8. [PMID: 23686588 DOI: 10.1007/s10140-013-1130-z] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2013] [Accepted: 05/07/2013] [Indexed: 02/07/2023]
Abstract
Hydatid cyst embolization to the pulmonary arteries is rare especially in the Western regions of the world. However, it can be mistaken for pulmonary embolism based on the similar clinical manifestations of cough, hemoptysis, and acute onset of chest pain. We report a case of a 32-year-old man presenting with these symptoms who was initially suspected of having pulmonary embolism. Subsequent imaging with CT and MR revealed hepatic hydatid cyst embolization to the pulmonary arteries. The significance of this case lies in the recognition of the unique radiologic features of pulmonary hydatid cyst embolization on CT and MR imaging to differentiate this entity from bland pulmonary thromboembolic disease.
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Affiliation(s)
- Yunseok Namn
- UMDNJ-New Jersey Medical School, 185 South Orange Ave., Newark, NJ, 07103, USA,
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Herek D, Karabulut N. CT demonstration of pulmonary embolism due to the rupture of a giant hepatic hydatid disease. Clin Imaging 2012; 36:612-4. [PMID: 22920374 DOI: 10.1016/j.clinimag.2011.10.020] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2011] [Revised: 10/13/2011] [Accepted: 10/25/2011] [Indexed: 11/25/2022]
Abstract
Hydatid disease can be seen anywhere in the body and presents with a variety of clinical symptoms and imaging features according to its location. In this article, computed tomography features of a giant hepatic hydatid cyst extending into the right atrium and causing pulmonary embolism are presented.
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Affiliation(s)
- Duygu Herek
- Department of Radiology, Pamukkale University Education and Research Center, Kinikli Kampusu, 20100 Denizli, Turkey.
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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: 0.4] [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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Leila A, Laroussi L, Abdennadher M, Msaad S, Frikha I, Kammoun S. A cardiac hydatid cyst underlying pulmonary embolism: a case report. Pan Afr Med J 2011; 8:12. [PMID: 22121421 PMCID: PMC3201579 DOI: 10.4314/pamj.v8i1.71061] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2010] [Accepted: 02/12/2011] [Indexed: 11/17/2022] Open
Abstract
Hydatid cysts located in the interatrial septum are especially rare but when they occur, they might cause intracavity rupture. We report on a patient with acute pulmonary embolism caused by an isolated, ruptured hydatid cyst on the right side of the interatrial septum. A 16-year-old-boy with an uneventful history was hospitalized for exercise-induced dyspnea and blood expectorations. Multiple and bilateral opacities were visualized on standard chest x-ray. Signs of right-sided hypertrophy were seen on ECG. Imaging findings led to the diagnosis of pulmonary embolism complicating cardiac hydatid cysts. An operation was performed through median sternotomy to remove the cardiac cyst. The pleural cavity was entered through the fifth intercostal space to withdraw lung hydatid cysts. Operative recovery was uneventful and the patient resumed his normal activities 19 months later. Prompt diagnosis and an appropriate surgical treatment prevented a potentially fatal outcome.
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Affiliation(s)
- Abid Leila
- Cardiology Department, Hedi Chaker University Hospital, Sfax, Tunisia
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Cansu A, Cakir M, Dilber E, Gedikli O, Cansu A, Kul S, Erduran E. Cardiac echinococcosis associated with cerebrovascular occlusive disease and subcutaneous bullous eruptions and ulcers. ANNALS OF TROPICAL PAEDIATRICS 2011; 31:251-254. [PMID: 21781421 DOI: 10.1179/1465328111y.0000000018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Cardiac involvement is an uncommon complication of echinococcosis. It is usually asymptomatic and may only be diagnosed incidentally. A 7-year-old boy was admitted with acute stroke and bullous and ulcerated skin lesions. He was diagnosed with cardiac echinococcosis complicated by systemic emboli to the central nervous system and superficial cutaneous arteries. In endemic areas, echinococcosis should be considered in the differential diagnosis of cardiac disease and unexplained cerebral embolism.
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Affiliation(s)
- Aysegul Cansu
- Department of Radiology, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey
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