Primary mediastinal hydatid disease leading to popliteal artery hydatid cyst embolization.
Hydatid disease is a zoonosis caused by Echinococcus granulosus . Infected dogs release eggs through their feces and the eggs infect humans through food and water. The most common locations of hydatid cysts are the liver and lungs, but primary mediastinal involvement, though rare, can be encountered. We report on a 16-year-old female with a primary mediastinal hydatid cyst leading to popliteal arterial embolization. The mediastinal lesion was treated with partial pericystectomy with removal of the germinal membrane and prophylactic albendazole. In endemic areas, it is important to consider hydatid cysts in the differential diagnosis of an acute arterial occlusion.
Hakeem
Aijaz
A
Department of Radiodiagnosis, SK Institute of Medical Sciences, Srinagar, Kashmir, India. aijazhakeem@yahoo.com
Shafi
Hakim
H
Gojwari
Tariq A
TA
Rasool
Shubana
S
Ahmad
Muneer
M
D000293:Adolescent; D000818:Animals; D004285:Dogs; D004443:Echinococcosis / Q000150:complications* / Q000469:parasitology; D048209:Echinococcus granulosus / Q000469:parasitology; D004617:Embolism / Q000209:etiology* / Q000469:parasitology; D005260:Female; D006801:Humans; D008477:Mediastinal Diseases / Q000150:complications / Q000469:parasitology; D011150:Popliteal Artery / Q000469:parasitology / Q000473:pathology*
Am J Med. 1960 Jul;29:73-83
14435973
J Cardiovasc Surg (Torino). 1989 Jul-Aug;30(4):624-6
2777871
Am J Trop Med Hyg. 1976 Nov;25(6):845-7
1008129
Cardiovasc Intervent Radiol. 1988 Oct;11(5):296-9
3145146
Ann Thorac Surg. 1997 Aug;64(2):334-7
9262570
Asian Cardiovasc Thorac Ann. 2007 Oct;15(5):e60-2
17911058
Rev Esp Cardiol. 1984 Sep-Oct;37(5):371-4
6494547
Radiology. 1999 Oct;213(1):192-4
10540661
Indian J Med Microbiol. 2008 Jan-Mar;26(1):80-1
18227607
Rev Pneumol Clin. 2000 Feb;56(1):7-15
10740109
Ann Thorac Cardiovasc Surg. 2004 Apr;10(2):118-9
15209555
Clin Microbiol Rev. 2004 Jan;17(1):107-35
14726458
J Pediatr Surg. 1998 May;33(5):759-60
9607492