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.
Ethical Statement
Olgu sunumu için hastanın ailesinden onam alındı.
References
- 1.Moro P, Schantz PM. Echinococcosis: a review. IntJ Infect Dis. 2009; 13: 125-33.
- 2.Turgut AT, Altın L, Topçu S, et al. Unusual imagingcharacteristics of complicated hydatid disease. Eur JRadiol. 2007; 63: 84-93.
- 3.Akgul Ozmen C, Onat S. Computed tomographyfindings of pulmonary hydatid cysts in children andthe factors related to cyst rupture. Med Sci Monit.2017; 23: 3679-86.
- 4.El-On J. Benzimidazole treatment of cysticechinococcosis. Acta Trop. 2003; 85: 243-52.
- 5.Shabbir MU, Ahmed A, Shaukat F, et al.Disseminated hydatid disease in a child involvingmultiple organ systems: a case report. Cureus. 2020;12: e6600.
- 6.Chellam S, Dalal KS, Toal PV. Use of filters inanaesthesia: is it warranted? Indian J Anaesth. 2014;58: 475-7.
- 7.Amrani A, Zerhouni H, Benabdallah FF. Le kystehydatique du rein chez l’enfant: à propos de 6 cas.Ann Urol (Paris). 2003; 37: 8-12.
- 8.Mishra P, Agrawal A, Joshi M, et al. Minimal accesssurgery for multiorgan hydatid cysts. Afr J PaediatrSurg. 2010; 7: 40-2.
- 9.brahim FF, Rubay D, Yi S, et al. Surgicalmanagement of cardiac hydatid cyst and the residualintramural ectocyst. Cureus. 2020; 12: e9794.
- 10.Wadhawa V, Shah J, Doshi C, et al. Surgicaloverview of cardiac echinococcosis: a rare entity.Interact Cardiovasc Thorac Surg. 2018; 27: 191-7.
- 11.Brunetti E, Kern P, Vuitton DA. Expert consensusfor the diagnosis and treatment of cystic andalveolar echinococcosis in humans. Acta Trop. 2010;114: 1-16.
- 12.Goja S, Saha SK, Yadav SK. Surgical approaches tohepatic hydatidosis ranging from partial cystectomyto liver transplantation. Ann Hepatobiliary PancreatSurg. 2018; 22: 208-14.
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.
Ethical Statement
Olgu sunumu için hastanın ailesinden onam alındı.
References
- 1.Moro P, Schantz PM. Echinococcosis: a review. IntJ Infect Dis. 2009; 13: 125-33.
- 2.Turgut AT, Altın L, Topçu S, et al. Unusual imagingcharacteristics of complicated hydatid disease. Eur JRadiol. 2007; 63: 84-93.
- 3.Akgul Ozmen C, Onat S. Computed tomographyfindings of pulmonary hydatid cysts in children andthe factors related to cyst rupture. Med Sci Monit.2017; 23: 3679-86.
- 4.El-On J. Benzimidazole treatment of cysticechinococcosis. Acta Trop. 2003; 85: 243-52.
- 5.Shabbir MU, Ahmed A, Shaukat F, et al.Disseminated hydatid disease in a child involvingmultiple organ systems: a case report. Cureus. 2020;12: e6600.
- 6.Chellam S, Dalal KS, Toal PV. Use of filters inanaesthesia: is it warranted? Indian J Anaesth. 2014;58: 475-7.
- 7.Amrani A, Zerhouni H, Benabdallah FF. Le kystehydatique du rein chez l’enfant: à propos de 6 cas.Ann Urol (Paris). 2003; 37: 8-12.
- 8.Mishra P, Agrawal A, Joshi M, et al. Minimal accesssurgery for multiorgan hydatid cysts. Afr J PaediatrSurg. 2010; 7: 40-2.
- 9.brahim FF, Rubay D, Yi S, et al. Surgicalmanagement of cardiac hydatid cyst and the residualintramural ectocyst. Cureus. 2020; 12: e9794.
- 10.Wadhawa V, Shah J, Doshi C, et al. Surgicaloverview of cardiac echinococcosis: a rare entity.Interact Cardiovasc Thorac Surg. 2018; 27: 191-7.
- 11.Brunetti E, Kern P, Vuitton DA. Expert consensusfor the diagnosis and treatment of cystic andalveolar echinococcosis in humans. Acta Trop. 2010;114: 1-16.
- 12.Goja S, Saha SK, Yadav SK. Surgical approaches tohepatic hydatidosis ranging from partial cystectomyto liver transplantation. Ann Hepatobiliary PancreatSurg. 2018; 22: 208-14.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration, Medical Education, Health Services and Systems (Other) |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | September 16, 2025 |
| Submission Date | May 7, 2025 |
| Acceptance Date | September 2, 2025 |
| Published in Issue | Year 2025 Volume: 52 Issue: 3 |
