Bulut Büşra, Aydın Cansu, Bayhan Gülsüm İclal, Akın Mustafa Emre, Birincioğlu Cemal Levent
Department of Children's Health and Diseases, Yildirim Beyazit University Faculty of Medicine, Ankara, Turkey.
Department of Radiology, Yıldırım Beyazıt University Faculty of Medicine, Ankara, Turkey.
Tuberk Toraks. 2020 Sep;68(3):346-350. doi: 10.5578/tt.69499.
Hydatid Cyst is a public health problem in Turkey. Although it can lead to cyst formation in all organs and systems, the most frequently affected organs are the liver and lungs. Here, we reported a 14-year-old girl who presented with low back pain and hydatid vomita symptoms and signs. The abdominal and thoracic CT examinations of the patient revealed that hydatid cyst found in the liver was opened to the inferior vena cava and it was determined that it caused multiple emboli in the right atrium, pulmonary arteries and lungs. Albendazole treatment was commenced and the hydatid cyst in the liver was excised by surgery, and surgery was planned for the hydatid cyst lesion in the right atrium. However, in the control thorax BT before the surgery, it was found that the cysts in the cardiovascular structures disappeared, causing widespread pulmonary embolism and spread to the entire pulmonary field. The most important complication of intense hydatid pulmonary embolization is the development of pulmonary hypertension and right heart failure. In our patient, pulmonary artery pressures and right heart functions were normal in repeated echocardiography. With this case, we wanted to emphasize that the cardiovascular involvement of hydatid cyst may not always require surgery.
包虫囊肿在土耳其是一个公共卫生问题。尽管它可导致所有器官和系统形成囊肿，但最常受累的器官是肝脏和肺脏。在此，我们报告了一名14岁女孩，她出现了腰痛和包虫性呕吐的症状及体征。患者的腹部和胸部CT检查显示，肝脏中的包虫囊肿破入下腔静脉，并确定其在右心房、肺动脉和肺部引起了多处栓子。开始使用阿苯达唑治疗，并通过手术切除了肝脏中的包虫囊肿，同时计划对右心房中的包虫囊肿病变进行手术。然而，在手术前的对照胸部BT检查中，发现心血管结构中的囊肿消失，导致广泛的肺栓塞并扩散至整个肺野。严重的包虫性肺栓塞最重要的并发症是肺动脉高压和右心衰竭。在我们的患者中，多次超声心动图检查显示肺动脉压力和右心功能正常。通过这个病例，我们想强调包虫囊肿的心血管受累情况不一定总是需要手术治疗。
