Primary Chest Wall Hydatid Disease: A Case Report with Multimodality Imaging Findings

Primary chest wall hydatid cyst is a very rare disease in endemic areas. This case report describes a 22-year-old male patient with a 3-year history of chronic left chest pain. He had a history of close animal contact in childhood. Chest computed tomography (CT) scan showed a left upper posterior pa...

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Main Authors: Waleed Althobaity, Ayman Aldeheshi, Mnahi Bin Saeedan
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Case Reports in Radiology
Online Access:http://dx.doi.org/10.1155/2023/5313067
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author Waleed Althobaity
Ayman Aldeheshi
Mnahi Bin Saeedan
author_facet Waleed Althobaity
Ayman Aldeheshi
Mnahi Bin Saeedan
author_sort Waleed Althobaity
collection DOAJ
description Primary chest wall hydatid cyst is a very rare disease in endemic areas. This case report describes a 22-year-old male patient with a 3-year history of chronic left chest pain. He had a history of close animal contact in childhood. Chest computed tomography (CT) scan showed a left upper posterior paravertebral cystic mass with peripheral and intrinsic calcifications. Fluorine-18 fluorodeoxyglucose (F-18 FDG) positron emission tomography (PET) scan showed no significant FDG uptake. Magnetic resonance imaging (MRI) showed a left paravertebral cystic mass with daughter cysts and a peripheral low T2 wall, compatible with hydatid disease. Medical treatment was started, and a follow-up MRI showed rupture of hydatid cysts. The patient underwent surgical resection, and a hydatid disease diagnosis was confirmed by histopathologic examination. During the postoperative hospital course, the patient developed pneumothorax which was successfully treated with a surgical procedure. The patient was discharged with medical treatment (albendazole). In conclusion, this case highlights the importance of considering hydatid disease in the differential diagnosis of chest wall cystic masses, especially in endemic regions, and the value of multimodality imaging in diagnosis and treatment planning.
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spelling doaj-art-36bca1fe97674819b92c3115156983aa2025-08-20T02:07:45ZengWileyCase Reports in Radiology2090-68702023-01-01202310.1155/2023/5313067Primary Chest Wall Hydatid Disease: A Case Report with Multimodality Imaging FindingsWaleed Althobaity0Ayman Aldeheshi1Mnahi Bin Saeedan2Department of RadiologyDepartment of Pathology & Laboratory MedicineDepartment of RadiologyPrimary chest wall hydatid cyst is a very rare disease in endemic areas. This case report describes a 22-year-old male patient with a 3-year history of chronic left chest pain. He had a history of close animal contact in childhood. Chest computed tomography (CT) scan showed a left upper posterior paravertebral cystic mass with peripheral and intrinsic calcifications. Fluorine-18 fluorodeoxyglucose (F-18 FDG) positron emission tomography (PET) scan showed no significant FDG uptake. Magnetic resonance imaging (MRI) showed a left paravertebral cystic mass with daughter cysts and a peripheral low T2 wall, compatible with hydatid disease. Medical treatment was started, and a follow-up MRI showed rupture of hydatid cysts. The patient underwent surgical resection, and a hydatid disease diagnosis was confirmed by histopathologic examination. During the postoperative hospital course, the patient developed pneumothorax which was successfully treated with a surgical procedure. The patient was discharged with medical treatment (albendazole). In conclusion, this case highlights the importance of considering hydatid disease in the differential diagnosis of chest wall cystic masses, especially in endemic regions, and the value of multimodality imaging in diagnosis and treatment planning.http://dx.doi.org/10.1155/2023/5313067
spellingShingle Waleed Althobaity
Ayman Aldeheshi
Mnahi Bin Saeedan
Primary Chest Wall Hydatid Disease: A Case Report with Multimodality Imaging Findings
Case Reports in Radiology
title Primary Chest Wall Hydatid Disease: A Case Report with Multimodality Imaging Findings
title_full Primary Chest Wall Hydatid Disease: A Case Report with Multimodality Imaging Findings
title_fullStr Primary Chest Wall Hydatid Disease: A Case Report with Multimodality Imaging Findings
title_full_unstemmed Primary Chest Wall Hydatid Disease: A Case Report with Multimodality Imaging Findings
title_short Primary Chest Wall Hydatid Disease: A Case Report with Multimodality Imaging Findings
title_sort primary chest wall hydatid disease a case report with multimodality imaging findings
url http://dx.doi.org/10.1155/2023/5313067
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