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An unusual localization of cyst hydatidosis associated with cardiac hydatid disease/Hidatik kistin ahsilmadik lokalizasyonu ve kardiyak kist hidatikle beraberligi.

A 50-year-old woman was admitted to our clinic for surgical removal of cardiac hydatid cyst. Before the admission, she had been referred to other clinic with signs and complaints of a large mass in the medial aspect of the left upper leg and severe pain. A multiloculated hydatid cyst between the iliopsoas and pectineus muscle had been diagnosed using an ultrasonography and magnetic resonance imaging (MRI). Magnetic resonance images demonstrated a well-defined cystic mass containing a few round lesions. The mother cyst had a thin, low-signal intensity rim on T1 and T2 weighted sequences. The daughter cyst exhibited a very low signal on T1-weighted images. Indirect hemagglutination and Western-Blot tests for echinococcus antibodies were also positive. After the diagnosis, albendazole 10 mg/kg daily for three months had been given immediately. At the follow-up, the symptoms disappeared and the MRI confirmed that the amount of the cystic lesions have decreased and became calcified (Fig. 1). But, transthoracic echocardiography and chest computed tomography revealed a cardiac hydatid cyst, 19x13 mm in size, originated from the interventricular septum (Fig. 2 and Fig. 3). Therefore, the patient underwent operation for removal of hydatid cyst in interventricular septum. We prescribed albendazole 10 mgr/kg daily for three months to prevent recurrence postoperatively.


This case emphasizes that in endemic areas with high occurrence of hydatid infestation, physicians should have a high index of suspicion when patients present with slowly growing cystic mass in musculoskeletal system. The preoperative workup including ultrasonography, transthoracic echocardiography, and total body computed tomography must be performed routinely as we show in this case.

 Cok ileri bir tarihte
 Cok yasli olarak
 Sessizce ayrilmaliyim
 Kimseye pek gozukmeden
 Ve kimseyi rahatsiz etmeden.

 Masamin uzerinde
 Dunden kalan isler
 Tamamlanmamis yazilar
 Okunmayi bekleyen kitaplar
 Ve anilar ve umutlar.

 Filleri kuyrugundan cekerek
 Tepeleri asirtmakti gorevim
 Gunler bitti filler tukenmedi
 Ben elimden geleni yaptim
 Gerisini siz tamamlayin.

 Bosa gecmedi hayatim
 Daha fazlasi olabilirdi ama
 'Buna da ?ukur' demeliyim
 Iste sevgili dostlar
 Ben boyle veda etmeliyim.

 Ismail Cem
 New York, 1995

Metin Demircin, Omer Faruk Dogan, Meral Kanbak *

From Departments of Cardiovascular Surgery and * Anesthesia, Medical Faculty, Hacettepe University, Ankara, Turkey
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Title Annotation:Original Image/Orijinal Goruntu
Author:Demircin, Metin; Dogan, Omer Faruk; Kanbak, Meral
Publication:The Anatolian Journal of Cardiology (Anadolu Kardiyoloji Dergisi)
Date:Mar 1, 2007
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