Pulmoner nodül görünümünde kist hidatik embolisi: Olgu sunumu

Year 2022, , 78 - 81, 27.06.2022

Elmire Dervişoğlu , Sevtap Doğan , Nurettin Özgür Doğan

https://doi.org/10.53446/actamednicomedia.987876

Abstract

Ekinokokkozis, gelişmekte olan ülkelerde hepatik ve pulmoner bulgularla kendini gösteren bir halk sağlığı sorunudur. Nadiren pulmoner artere kistik embolizasyon ile kendini gösterebilir ve önemli morbiditeye neden olabilir. Karaciğerde multiloküle kistik lezyonları olan ve vena kava inferior aracılığı ile sağ hemitoraksa uzanan hidatik emboli olgusu sunuyoruz. Hastanın tanısı kontrastsız bilgisayarlı tomografi ile kondu ve radyokontrast maddeye alerjisi olması nedeniyle manyetik rezonans görüntüleme ile doğrulandı.

Keywords

Ekinokokkozis, pulmoner emboli, BT, MR.

Hydatid cyst embolism masquerading as pulmonary nodule: A case report

Abstract

Echinococcosis is still a public health problem in developing countries presenting with hepatic and pulmonary manifestations. Rarely, the clinical condition can manifest with cystic embolization to the pulmonary artery and causes significant morbidity. We present a case with hydatid embolism who has multiloculated cystic lesions in the liver and protruding into the right hemithorax through the inferior vena cava. She was diagnosed with non-contrast-enhanced computed tomography and the diagnosis was confirmed with magnetic resonance imaging because of her allergy to radiocontrast material.

Keywords

Echinococcosis, pulmonary embolism, CT, MRI.

References

• Mnari W, Zrig A, Maatouk M, Golli M. Acute pulmonary embolism due to hydatid cysts. Int J Infect Dis. 2014;25:142-144.
• Jorens PG, Van Marck E, Snoeckx A, Parizel PM. Nonthrombotic pulmonary embolism. Eur Respir J. 2009;34:452-474.
• Odev K, Acikgözoglu S, Gormüs N, Aribas OK, Kiresi DA, Solak H. Pulmonary embolism due to cardiac hydatid disease: imaging findings of unusual complication of hydatid cyst. Eur Radiol. 2002;12:627-633.
• Yagüe D, Lozano MP, Lample C, Nuñez ME, Sánchez F. Bilateral hydatid cyst of pulmonary arteries: MR and CT findings. Eur Radiol. 1998;8:1170-1172.
• Yuan Z, Maihesuti M, Wenya L, Cheng Z, Biyemu N, Haitao W. Rare reason for pulmonary embolism: one case of pulmonary hydatid cyst and review of the literature. J Thromb Thrombolysis. 2015;40:126-129.
• Salem R, Zrig A, Joober S, Trimech T, Harzallah W, Jellali MA, et al. Pulmonary embolism in echinococcosis: two case reports and literature review. Ann Trop Med Parasitol. 2011;105:85-89.
• Savaş G, Coşgun MS, Karabıyık U, Oğuzhan A. A Rare Cause of Pulmonary Embolism: Hydatid Cyst. Am J Respir Crit Care Med 2017;196:386-387.
• Şahpaz A, İrez A, Gülbeyaz H, Şener MT, Kök AN. Non-thrombotic Pulmonary Embolism Due to Liver Hydatic Cyst: A Case Report. Balkan Med J. 2017;34:275-277.
• Namn Y, Maldjian PD. Hydatid cyst embolization to the pulmonary artery: CT and MR features. Emerg Radiol. 2013;20:565-568.
• Buz S, Knosalla C, Mulahasanovic S, Meyer R, Hetzer R. Severe chronic pulmonary hypertension caused by pulmonary embolism of hydatid cysts. Ann Thorac Surg. 2007;84:2108-2110.