Intramyocardial right ventricular hydatid cyst in a young female with typical radiological features

BMJ Case Rep. 2024 Oct 24;17(10):e261051. doi: 10.1136/bcr-2024-261051.

Abstract

We report a rare case of isolated cardiac involvement by hydatid disease in a young female patient, who presented with a recent onset of chest pain and discomfort. The radiological investigations showed an intramyocardial hydatid cyst in the right ventricle-free wall, protruding into the right ventricular cavity. The lesion exhibited characteristic MRI findings of crumpled serpiginous detached membranes within it and delayed peripheral enhancement on dynamic postcontrast late-phase MRIs. The positive hydatid serology consolidated the imaging findings. The patient underwent surgical excision of the hydatid cyst.

Keywords: Cardiothoracic surgery; Cardiovascular medicine; Infectious diseases; Radiology; Ultrasonography.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Chest Pain / etiology
  • Diagnosis, Differential
  • Echinococcosis* / diagnosis
  • Echinococcosis* / diagnostic imaging
  • Echinococcosis* / surgery
  • Female
  • Heart Diseases / diagnosis
  • Heart Diseases / diagnostic imaging
  • Heart Diseases / parasitology
  • Heart Diseases / surgery
  • Heart Ventricles* / diagnostic imaging
  • Humans
  • Magnetic Resonance Imaging*