title: [Tamponade reveals an intra-pericardial hydatid cyst - a case report].
abstract: BACKGROUND
  Hydatid disease is a parasitic infection caused by the development of the larval form of the Teania of Echinococcus granulosus. It is endemic in many regions of the world such as the Mediterranean basin. Location without pericardial cardiac involvement is extremely rare. In this case study, we will elaborate the case of an intra-pericardial hydatidosis disease without cardiac location revealed by a tamponade.
  
  
  METHODS
  AA is a 60-year-old man with no pathological history and who was admitted for a tamponade assessment. Indeed, the cardiovascular examination showed a muffling of the heart sound and signs of a right heart failure. Besides, the ECG shows a microvoltage, and the chest radiography shows cardiomegaly. Moreover, the transthoracic echocardiogram confirmed the presence of an abundant pericardial effusion along with signs of a tamponade. It also reifies the presence of, at the intra-pericardial level, a multiple vesicular formation giving a cluster of grapes highly suggestive of an intra-pericardial hydatid disease. An emergency surgical drainage allowed removing about two liters of suspicious fluid along with cysts and white membranous. The pathological examination of the membranous confirmed the diagnosis of a pericardial hydatid cyst. The performance of a chest CT and an abdominal ultrasound's scan to identify other locations shows no further anomalies. The patient was put under medical treatment (Albendazole(®)) and is showing a good clinical improvement.
  
  
  CONCLUSIONS
  The intra-pericardial hydatid disease is another cause of tamponade not to fail despite its rareness, as it is endemic to North African countries.
authors.affiliation: Service de cardiologie, FMPM, PCIM, CHU Mohammed VI, Marrakech, Maroc. Electronic address: elkarimi2004@hotmail.com.
authors.forename: S
authors.initials: S
authors.lastname: Elkarimi
authors.affiliation: Service de chirurgie cardiovasculaire, CHU Mohammed VI, Marrakech, Maroc.
authors.forename: N
authors.initials: N
authors.lastname: Ouldelgadia
authors.affiliation: Service de cardiologie, FMPM, PCIM, CHU Mohammed VI, Marrakech, Maroc.
authors.forename: H
authors.initials: H
authors.lastname: Gacem
authors.affiliation: Service de chirurgie cardiovasculaire, CHU Mohammed VI, Marrakech, Maroc.
authors.forename: Z
authors.initials: Z
authors.lastname: Zouizra
authors.affiliation: Service de chirurgie cardiovasculaire, CHU Mohammed VI, Marrakech, Maroc.
authors.forename: D
authors.initials: D
authors.lastname: Boumzebra
authors.affiliation: Service d'anatomie pathologique, CHU Mohammed VI, Marrakech, Maroc.
authors.forename: B
authors.initials: B
authors.lastname: Blelaabidia
authors.affiliation: Service de cardiologie, FMPM, PCIM, CHU Mohammed VI, Marrakech, Maroc.
authors.forename: M
authors.initials: M
authors.lastname: Elhattaoui
mesh_terms: D002305:Cardiac Tamponade / Q000469:parasitology*; D004443:Echinococcosis / Q000150:complications* / Q000175:diagnosis; D006331:Heart Diseases / Q000175:diagnosis / Q000469:parasitology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010496:Pericardium