Hydatid cyst of the pericardium: a case report

Abstract

Pericardial hydatid cystis a rare condition; its clinical presentation is variable. It can reveal straightaway at the stage of life threatening complications. We report the case of a 17 years old female Arab patient, who complained of a sudden onset dyspnea, clinical examination was poor; the diagnosis was suspected by echocardiography and confirmed by the CT scan and hydatid serology. Furthermore, no other location was noted. Surgical treatmentwas proposed. The modern cross-sectional imaging especially CT scan and MRI revolutionized the diagnosis of this rare hydatid location.

Both mediastinal and pericardial hydatidosis revealed by ST elevation acute coronary syndrome

“…Clinical features depend on the size and location of the cysts and involvement of neighboring structures [ 2 , 6 ]. Patients are usually asymptomatic, or may present with mild, recurrent, non-specific chest pain, owing to pericarditis resulting from episodes of partial rupture into the pericardium, or external compression over the coronary artery [ 7 ].…”

“…Diagnosis is established on the basis of ultrasound examination, CT scan and serology [ 8 ]. Cardiac magnetic resonance imaging (MRI) can provide interesting information in case of discrepancy between echocardiography and CT scan [ 6 ]. Serological studies are not found to be sensitive for the diagnosis, however in our case, hydatid serology was positive [ 9 ].…”