Intramyocardial right ventricular hydatid cyst in a young female with typical radiological features

Abstract

We report a rare case of isolated cardiac involvement by hydatid disease in a young female patient, who presented with a recent onset of chest pain and discomfort. The radiological investigations showed an intramyocardial hydatid cyst in the right ventricle-free wall, protruding into the right ventricular cavity. The lesion exhibited characteristic MRI findings of crumpled serpiginous detached membranes within it and delayed peripheral enhancement on dynamic postcontrast late-phase MRIs. The positive hydatid serology consolidated the imaging findings. The patient underwent surgical excision of the hydatid cyst.