Giant cardiac hydatid cyst: case presentation with radiologic survey and review of literature

Authors

  • Ravinder Kumar Department of Radiodiagnosis, Geetanjali Medical College and Hospital, Geetanjali University
  • Amit Kumar Department of Cardiology, RNT Medical College and MB Hospital, RUHS University
  • Neha Singh Argahari Department of Radiodiagnosis, Geetanjali Medical College and Hospital, Geetanjali University
  • Gagan Jaiswal Department of Radiodiagnosis, Geetanjali Medical College and Hospital, Geetanjali University
  • Jyoti Kundu Department of Prosthodontics, Geetanjali Dental College and Hospital, Geetanjali University

DOI:

https://doi.org/10.3126/jkmc.v3i4.13377

Keywords:

Computed tomography scan, Echocardiography, Electrocardiogram, Hydatid cyst, Magnetic resonance imaging, Ultrasonography

Abstract

Hydatid disease is mostly localised to liver and lungs. Cardiac involvement is a rare but potentially very serious complication of echinococcosis, constituting only 0.5–2% of all cases of hydatidosis. Cardiac hydatid cyst is a diagnostic and therapeutic challenge on account of highly variable clinical presentations and non-specifi c symptoms and often numerous unpredictable complications. We present a case report of 20-year-old man who was admitted to our hospital with chief complaint of palpitations and shortness of breath. Using baseline investigations like ECG, transthoracic echocardiography, ultrasonography, non-contrast computed tomography and magnetic resonance imaging, a giant multiloculated cystic lesion (58.4 mm × 43.3 mm) was diagnosed in the apex of left ventricle. Serologic tests (hydatid cyst antibody) confi rmed Echinococcus infection. Thoracic computed tomography with intravenous contrast was not performed because patient reported history of allergy to contrast. This case report is unusual as it is concerned with the description of a rare disease entity (large cardiac hydatid cyst). Its radiological appearances are discussed for early diagnosis and better understanding of the disease, together with a review of the literature.


Journal of Kathmandu Medical College
Vol. 3, No. 4, Oct.-Dec., 2014
Page:

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Author Biographies

Ravinder Kumar, Department of Radiodiagnosis, Geetanjali Medical College and Hospital, Geetanjali University

Assistant Professor

Amit Kumar, Department of Cardiology, RNT Medical College and MB Hospital, RUHS University

second year DM

Neha Singh Argahari, Department of Radiodiagnosis, Geetanjali Medical College and Hospital, Geetanjali University

first year MD residents

Gagan Jaiswal, Department of Radiodiagnosis, Geetanjali Medical College and Hospital, Geetanjali University

first year MD residents

Jyoti Kundu, Department of Prosthodontics, Geetanjali Dental College and Hospital, Geetanjali University

Senior Lecturer

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Published

2015-09-16

How to Cite

Kumar, R., Kumar, A., Argahari, N. S., Jaiswal, G., & Kundu, J. (2015). Giant cardiac hydatid cyst: case presentation with radiologic survey and review of literature. Journal of Kathmandu Medical College, 3(4), 165–170. https://doi.org/10.3126/jkmc.v3i4.13377

Issue

Section

Case Reports