Concomitant intramyocardial and hepatic hydatid cysts diagnosed by multi-modality imaging: A rare case report
Cardiac echinococcosis is a potentially fatal form of hydatid disease; yet, its diagnosis and treatment are challenging due to the variability in its clinical manifestations and due to its various unpredictable preoperative complications. Multi-modality imaging is shown to provide important guidance...
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| Format: | Article |
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Frontiers Media S.A.
2022-12-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2022.1055000/full |
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| author | Hoai Thi Thu Nguyen Hoai Thi Thu Nguyen Viet Tuan Pham Hung Duc Duong James N. Kirkpatrick James N. Kirkpatrick Walter Robert Taylor Walter Robert Taylor Hung Manh Pham Hung Manh Pham |
| author_facet | Hoai Thi Thu Nguyen Hoai Thi Thu Nguyen Viet Tuan Pham Hung Duc Duong James N. Kirkpatrick James N. Kirkpatrick Walter Robert Taylor Walter Robert Taylor Hung Manh Pham Hung Manh Pham |
| author_sort | Hoai Thi Thu Nguyen |
| collection | DOAJ |
| description | Cardiac echinococcosis is a potentially fatal form of hydatid disease; yet, its diagnosis and treatment are challenging due to the variability in its clinical manifestations and due to its various unpredictable preoperative complications. Multi-modality imaging is shown to provide important guidance for the treatment and decision-making. We report a rare case of a 50-year-old woman who had concomitant cardiac and hepatic hydatid cysts. She presented with abdominal pain and elevated eosinophilic white blood cells. The initial abdominal ultrasound and computerized tomography revealed a large cyst in the liver. An intramyocardial cyst was detected by two-dimensional echocardiography. Three-dimensional echocardiography increased the confidence level of two-dimensional echocardiography by displaying the three-dimensional volume of the cyst and allowing visualization of its spatial characteristics and the relationships with adjacent cardiac structures, which was subsequently confirmed at surgery. Multi-detector computed tomography and magnetic resonance imaging helped localize and define the typical morphological features of the cyst. Serology and antigen detection were used for diagnosis. This rare case underlines the integration of clinical, multi-modality imaging, and pathological data in the diagnosis of concomitant intramyocardial and hepatic hydatid cysts. Surgical resection of cysts and anthelmintic medication were successful in the management of this patient. |
| first_indexed | 2024-04-12T02:08:07Z |
| format | Article |
| id | doaj.art-a4dd1fdc2a4e47d088de710442c6ee81 |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-04-12T02:08:07Z |
| publishDate | 2022-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-a4dd1fdc2a4e47d088de710442c6ee812022-12-22T03:52:29ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-12-01910.3389/fcvm.2022.10550001055000Concomitant intramyocardial and hepatic hydatid cysts diagnosed by multi-modality imaging: A rare case reportHoai Thi Thu Nguyen0Hoai Thi Thu Nguyen1Viet Tuan Pham2Hung Duc Duong3James N. Kirkpatrick4James N. Kirkpatrick5Walter Robert Taylor6Walter Robert Taylor7Hung Manh Pham8Hung Manh Pham9Vietnam National Heart Institute, Bach Mai Hospital, Hanoi, VietnamDepartment of Internal Medicine, VNU-University of Medicine and Pharmacy, Hanoi, VietnamVietnam National Heart Institute, Bach Mai Hospital, Hanoi, VietnamVietnam National Heart Institute, Bach Mai Hospital, Hanoi, VietnamCardiovascular Division, Department of Medicine, University of Washington Medical Center, Seattle, WA, United StatesDepartment of Bioethics and Humanities, University of Washington Medical Center, Seattle, WA, United StatesMahidol Oxford Tropical Medicine Research Unit, Bangkok, ThailandCentre for Tropical Medicine and Global Health, University of Oxford, Oxford, United KingdomVietnam National Heart Institute, Bach Mai Hospital, Hanoi, VietnamDepartment of Cardiology, Hanoi Medical University, Hanoi, VietnamCardiac echinococcosis is a potentially fatal form of hydatid disease; yet, its diagnosis and treatment are challenging due to the variability in its clinical manifestations and due to its various unpredictable preoperative complications. Multi-modality imaging is shown to provide important guidance for the treatment and decision-making. We report a rare case of a 50-year-old woman who had concomitant cardiac and hepatic hydatid cysts. She presented with abdominal pain and elevated eosinophilic white blood cells. The initial abdominal ultrasound and computerized tomography revealed a large cyst in the liver. An intramyocardial cyst was detected by two-dimensional echocardiography. Three-dimensional echocardiography increased the confidence level of two-dimensional echocardiography by displaying the three-dimensional volume of the cyst and allowing visualization of its spatial characteristics and the relationships with adjacent cardiac structures, which was subsequently confirmed at surgery. Multi-detector computed tomography and magnetic resonance imaging helped localize and define the typical morphological features of the cyst. Serology and antigen detection were used for diagnosis. This rare case underlines the integration of clinical, multi-modality imaging, and pathological data in the diagnosis of concomitant intramyocardial and hepatic hydatid cysts. Surgical resection of cysts and anthelmintic medication were successful in the management of this patient.https://www.frontiersin.org/articles/10.3389/fcvm.2022.1055000/fullhydatid cystcardiac echinococcosisintramyocardial hydatid cystthree-dimensional echocardiographymulti-modality imaging |
| spellingShingle | Hoai Thi Thu Nguyen Hoai Thi Thu Nguyen Viet Tuan Pham Hung Duc Duong James N. Kirkpatrick James N. Kirkpatrick Walter Robert Taylor Walter Robert Taylor Hung Manh Pham Hung Manh Pham Concomitant intramyocardial and hepatic hydatid cysts diagnosed by multi-modality imaging: A rare case report Frontiers in Cardiovascular Medicine hydatid cyst cardiac echinococcosis intramyocardial hydatid cyst three-dimensional echocardiography multi-modality imaging |
| title | Concomitant intramyocardial and hepatic hydatid cysts diagnosed by multi-modality imaging: A rare case report |
| title_full | Concomitant intramyocardial and hepatic hydatid cysts diagnosed by multi-modality imaging: A rare case report |
| title_fullStr | Concomitant intramyocardial and hepatic hydatid cysts diagnosed by multi-modality imaging: A rare case report |
| title_full_unstemmed | Concomitant intramyocardial and hepatic hydatid cysts diagnosed by multi-modality imaging: A rare case report |
| title_short | Concomitant intramyocardial and hepatic hydatid cysts diagnosed by multi-modality imaging: A rare case report |
| title_sort | concomitant intramyocardial and hepatic hydatid cysts diagnosed by multi modality imaging a rare case report |
| topic | hydatid cyst cardiac echinococcosis intramyocardial hydatid cyst three-dimensional echocardiography multi-modality imaging |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2022.1055000/full |
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