Hydatid disease with pseudo-aneurysm formation of the descending thoracic aorta: a case report

Authors

  • Ruqia Mushtaq Department of General Surgery, Benazir Bhutto Hospital, Rawalpindi, Pakistan
  • Fatima Rauf Department of General Surgery, Benazir Bhutto Hospital, Rawalpindi, Pakistan
  • Muhammad Hanif Department of Surgery, Benazir Bhutto Hospital, Rawalpindi, Pakistan
  • Aqsa Ameer Rawalpindi Medical University, Rawalpindi, Pakistan

DOI:

https://doi.org/10.18203/2349-2902.isj20213614

Keywords:

Hydatid cyst, Aorta, Surgery, Case report

Abstract

Cystic echinococcosis, also known as hydatid disease, rarely occurs in aorta. In this article, we report a rare case of pseudo-aneurysm of the lower descending thoracic aorta communicating with the hydatid cyst; surgical excision was performed with primary repair of aorta. This report emphasizes the need for early diagnosis of hydatid cyst with high index of suspicion in endemic areas, particularly if in the vicinity of a major vessel and aggressive investigations followed by subsequent early treatment before disabling and life-threatening complications occur.

References

Brunetti E, Kern P, Vuitton DA. Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans. Acta Tropica. 2010;114(1):1-16.

Larrieu EJ, Frider B. Human cystic echinococcosis: contributions to the natural history of the disease. Ann Trop Med Parasitol. 2001;95(7):679-87.

Pardal HC, Orus MJM, Dominguez F, Ortega CLE, Ingelmo A, Alonso MMJ, et al. Hydatid mesoarteritis in the abdominal aorta: case report. Angiology. 1985;36(12):889-94.

Pulathan Z, Cay A, Güven Y, Sarihan H. Hydatid cyst of the abdominal aorta and common iliac arteries complicated by a false aneurysm: a case report. J Pediatr Surg. 2004;39(4):637-9.

Karapinar K, Ergül Z, Keskin A, Bugra O, Düzgün C, Zengin M. Hydatid cyst of the abdominal aorta and bilateral common iliac arteries. A case report. J Cardiovasc Surg. 1999;40(4):583-5.

Volpe P, Dalainas I, Ruggieri M, Nano G, Paroni G. Endovascular treatment of the descending thoracic aorta in a patient with a hydatid pseudoaneurysm. J Vasc Surg. 2006;44(5):1097-100.

Biglioli P, Spirito R, Roberto M, Parolari A, Agrifoglio M, Pompilio G, et al. False hydatic aneurysm of the thoracic aorta. Ann Thorac Surg. 1995;59(2):524-5.

Harris DG, Van VWM, Augustyn J, Rossouw GJ. Hydatid cyst fistula into the aorta presenting with massive hemoptysis. Case report and literature review. J Cardiovasc Surg. 2001;42(4):565-7.

Yilmaz M, Akbulut S, Kahraman A, Yilmaz S. Liver hydatid cyst rupture into the peritoneal cavity after abdominal trauma: case report and literature review. Int Surg. 2012;97(3):239-44.

Downloads

Published

2021-08-27

Issue

Section

Case Reports