Melike Yüksel YAVUZ, Akın ÇİNKOOĞLU, Ceyda ANAR, Hüseyin HALİLÇOLAR

KİST HİDATİĞİN BİLATERAL PULMONER ARTER VE KARDİYAK TUTULUMU: OLGU SUNUMU

Ekinokokkoz, gelişmemiş ve gelişmekte olan ülkelerde hala yaygın bir sağlık sorunu oluşturan önemli bir paraziter enfestasyondur. En yaygın tutulum karaciğer tutulumudur, bunu akciğer tutulumu izler. Hidatid kist hastalığı sıklıkla asemptomatiktir. Pulmoner emboli oldukça nadir görülür. Kardiyak hidatid kist, genellikle karaciğer hidatid kistinde hepatik ven veya vena kava inferiorun invazyonu ile olur. Tanıda radyolojik yöntemler oldukça faydalıdır. Tedavinin temelini cerrahi tedavi oluşturur, medikal tedavi buna alternatiftir. Biz burada masif pulmoner emboliye sebep olan sağ ventrikül tutulumlu hidatid kist olgusunu sunduk.

Anahtar Kelimeler:

Hidatid kist, pulmoner arter

BILATERAL PULMONARY ARTERY AND CARDIAC INVOLVEMENT IN HYDATID CYST: A CASE REPORT

Echinococcosis is an important parasitic infestation that is still a common health problem in undeveloped and developing countries. The liver is the most common site of involvement, followed by the lung. Hydatid disease is often asymptomatic. Pulmonary embolism of hydatid cysts is extremely rare. It is usually seen in cardiac hydatid cyst but it can be also due to inferior vena cava (IVC) or hepatic vein invasion in liver hydatidosis. Radiological methods are very useful in the diagnosis. Surgical treatment creates the basic of treatment. Medical treatment, an alternative to surgery. Here, we present of a case of with right ventricular hydatidosis causing massive pulmonary emboli.

Keywords:

Hydatid cyst, pulmonary artery,

PDF

___

1. Atilla U, Yüksel G, Oğuz K. Türk Toraks Derneği Paraziter Akciğer Hastalıkları Tanı Ve Tedavi Uzlaşı Raporu 2009;10: 7-9.
2. Necdet P, Soner D, Celalettin K. Pulmonary Embolism Originating from a Hepatic Hydatid Cyst Ruptured into the Inferior Vena Cava: CT and MRI Findings. Hindawi Publishing Corporation Case Reports in Radiology 2016; 4:1-4
3. Men S, Yücesoy C, Edgüer TR, Hekimoglu B. Intraaortic growth of hydatid cysts causing occlusion of the aorta and of both iliac arteries: case report. Radiology 1999; 213: 192-4.
4. Yunseok N, Pierre D. M. Hydatid cyst embolization to the pulmonary artery: CT and MR features. Emerg Radiol 2013; 20: 565-8.
5. Aysegul S, Mukremin E, Aysegul K, et al. A Case of Pulmonary Artery Hydatid Cyst Observed on Endobronchial Ultrasound. Iran J Radiol 2015 ; 12(1): e15995.
6. Zerrin P, Ali C, Yaşar G, Haluk S. Hydatid cyst of the abdominal aorta and common iliac arteries complicated by a false aneurysm: a case report. J Pediatr Surg 2004; 39: 637-9.
7. Diaz- Recasens J, Garcia Enguidanos A, Munoz I, Sainz de la Cuesta R, Ultrasonographic appearance of an echinococcus ovarian cyst. Obstet Gynecol 1998; 91: 841-2.
8. Cemal G, Remzi A, M. Özkan A, Yunus G. Erzurum ve Çevresinde İnsanlarda Kistik ve Alveolar Ekinokokkozis Olgularının Değerlendirilmesi. Türkiye Parazitoloji Dergisi 2005; 29 (2): 163-6.
9. Buz S, Knosalla C, Mulahasanovic S, Meyer R, Hetzer R. Severe chronic pulmonary hypertension caused by pulmonary embolism of hydatid cysts. Ann Thorac Surg 2007; 84: 2108-10.
10. Vicol C, Rupp G, Wagner T, Sumer C, et al. Surgical treatment of acute pericardial tamponade in infestation of the heart by echinococcus. Dtsch Med Wochenschr 1998; 123:250-2.
11. Abdurrahman A, Hatice G, Abdullah Çetin T. Nadir bir hidatik kist tutulumu: Bilateral pulmoner arter. Göztepe Tıp Dergisi 2010; 25(3):145-8.
12. Ben M'Rad S, Mathlouthi A, Merai S, Mestiri I, Ben Miled-Mrad K, Djenayah F. Pulmonary embolism of hydatic origin. Presse Med 1998; 27(5): 205-7.
13. Deniz A, Ugur O, Nural K, Ayhan G. Treatment of hydatid disease. Paediatr Drugs 2001; 3: 123-35.