Olağandışı Lokasyonlarda Saptanan ve Birçok Organı Etkileyen Pediatrik Kist Hidatik Olgusu

Abstract

Kist hidatik, Echinococcus granulosus’un neden olduğu, hayvansal yol ile bulaşan ve daha sıklıkla karaciğer ve akciğer gibi bazı organların tutulumu ile giden paraziter bir hastalıktır. Endemik bölgelerde yaşayan çocuklarda daha sık görülmekle birlikte, çoklu organ tutulumu pediatrik yaş grubunda nadirdir. Bu olgu sunumunda, karaciğer, akciğer, periton ve kalbinde kist hidatik saptanan 17 yaşındaki bir erkek hastanın tanı ve tedavi süreci sunulmuştur. Hastaya yapılan görüntülemelerde akciğer, karaciğer ve batın içinde multipl ve farklı boyutlarda kist hidatik lezyonlar saptanmış, sol ventrikül apeksinde intrakardiyak kist gözlenmiştir. Albendazol tedavisi başlanan hastaya kardiyak kistin komplikasyon riskleri nedeniyle cerrahi eksizyon uygulanmıştır. Bu olgu, çocukluk çağında dissemine seyreden ve kardiyak tutulumu olan kist hidatik enfeksiyonlarının nadir görülmesi açısından literatüre katkı sağlamaktadır.

Keywords

• Kist hidatik
• çoklu organ tutulumu
• albendazol tedavisi

A Case of Pediatric Hydatid Cyst Detected in Unusual Locations and Affecting Multiple Organs

Abstract

Hydatid cyst is a parasitic disease caused by Echinococcus granulosus, transmitted by animal means, and more frequently involves certain organs such as the liver and lungs. Although it is more common in children living in endemic regions, multiple organ involvement is rare in the pediatric age group. In this case report, the diagnosis and treatment process of a 17-year-old male patient with hydatid cysts detected in the liver, lungs, peritoneum, and heart is presented. Multiple and different-sized hydatid cyst lesions were detected in the lungs, liver, and abdomen on imaging performed on the patient, and an intracardiac cyst was observed in the left ventricular apex. Albendazole treatment was started, and surgical excision was performed due to the risk of complications of the cardiac cyst. This case contributes to the literature in terms of the rarity of hydatid cyst infections with a disseminated course and cardiac involvement in childhood.

Keywords

• Hydatid cyst
• multi-organ involvement
• albendazole therapy

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