Limits...
Hydatid cyst of lung: An uncommon cause of chest pain in young.

Kalpana S, Sridhar K, Murugan B, Moorthy N, Nanjappa MC - Lung India (2014)

Bottom Line: The liver is the most common organ involved, followed by the lungs.Depending on the location of involvement it can have varied presentation.A pulmonary hydatid cyst should be considered in the differential diagnosis of patients presenting with chest pain without conventional risk factors of coronary artery disease, especially in a tropical region.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiovascular Pathology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, Karnataka, India.

ABSTRACT
Echinococcosis can involve any organ. The liver is the most common organ involved, followed by the lungs. Depending on the location of involvement it can have varied presentation. We describe a young adult presenting with chest pain secondary to a pulmonary giant hydatid cyst. A pulmonary hydatid cyst should be considered in the differential diagnosis of patients presenting with chest pain without conventional risk factors of coronary artery disease, especially in a tropical region.

No MeSH data available.


Related in: MedlinePlus

(a) Chest radiograph showing well circumscribed homogenous opacity in the right mid zone (b) Chest computed tomography showing non-contrast enhancing large cystic mass in the right hilum
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4129599&req=5

Figure 1: (a) Chest radiograph showing well circumscribed homogenous opacity in the right mid zone (b) Chest computed tomography showing non-contrast enhancing large cystic mass in the right hilum

Mentions: A 25-year old male presented with history of recurrent retrosternal dull aching pain. He had no history of conventional risk factors of coronary artery disease. The electrocardiogram and transthoracic echocardiography were normal. Exercise treadmill test wan negative for inducible ischemia. Chest radiograph showed well-demarcated homogenous rounded opacity in the right mid zone [Figure 1a] which was confirmed on chest computed tomography (CT), which showed a noncontrast-enhancing solitary cyst occupying the right mid lobe [Figure 1b] measuring 85 × 65 × 80 mm. On right thoracotomy, the cyst was identified close to the hilum of the right lung attached to the lung parenchyma. The pearly white-colored false capsule [Figure 2a] around the cyst was opened and the cyst was removed in toto. The cyst wall showed acellular gelatinous layers on microscopy [Figure 2b]. A wet mount preparation of hydatid sand with hematoxylin and eosin stain showed multiple protoscoleces [Figure 2c and d]. He was prescribed oral albendazole prior to surgery as well as for 3 months post surgery to prevent recurrence. The post operative period was uneventful and he had complete relief from chest pain.


Hydatid cyst of lung: An uncommon cause of chest pain in young.

Kalpana S, Sridhar K, Murugan B, Moorthy N, Nanjappa MC - Lung India (2014)

(a) Chest radiograph showing well circumscribed homogenous opacity in the right mid zone (b) Chest computed tomography showing non-contrast enhancing large cystic mass in the right hilum
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4129599&req=5

Figure 1: (a) Chest radiograph showing well circumscribed homogenous opacity in the right mid zone (b) Chest computed tomography showing non-contrast enhancing large cystic mass in the right hilum
Mentions: A 25-year old male presented with history of recurrent retrosternal dull aching pain. He had no history of conventional risk factors of coronary artery disease. The electrocardiogram and transthoracic echocardiography were normal. Exercise treadmill test wan negative for inducible ischemia. Chest radiograph showed well-demarcated homogenous rounded opacity in the right mid zone [Figure 1a] which was confirmed on chest computed tomography (CT), which showed a noncontrast-enhancing solitary cyst occupying the right mid lobe [Figure 1b] measuring 85 × 65 × 80 mm. On right thoracotomy, the cyst was identified close to the hilum of the right lung attached to the lung parenchyma. The pearly white-colored false capsule [Figure 2a] around the cyst was opened and the cyst was removed in toto. The cyst wall showed acellular gelatinous layers on microscopy [Figure 2b]. A wet mount preparation of hydatid sand with hematoxylin and eosin stain showed multiple protoscoleces [Figure 2c and d]. He was prescribed oral albendazole prior to surgery as well as for 3 months post surgery to prevent recurrence. The post operative period was uneventful and he had complete relief from chest pain.

Bottom Line: The liver is the most common organ involved, followed by the lungs.Depending on the location of involvement it can have varied presentation.A pulmonary hydatid cyst should be considered in the differential diagnosis of patients presenting with chest pain without conventional risk factors of coronary artery disease, especially in a tropical region.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiovascular Pathology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, Karnataka, India.

ABSTRACT
Echinococcosis can involve any organ. The liver is the most common organ involved, followed by the lungs. Depending on the location of involvement it can have varied presentation. We describe a young adult presenting with chest pain secondary to a pulmonary giant hydatid cyst. A pulmonary hydatid cyst should be considered in the differential diagnosis of patients presenting with chest pain without conventional risk factors of coronary artery disease, especially in a tropical region.

No MeSH data available.


Related in: MedlinePlus