RESUMEN
Hydatid disease, caused by echinococcus granulosus, is a common infectious disease in endemic areas such as Southern Europe and the Middle East. The incidence of this disease, however, is on the increase in Northern Europe due to the migration of labor and also tourism. We report a case of the hydatid cyst of the mediastinum, the diagnosis of which was established by the hemagglutinin test and echocardiography and confirmed by histological examinations. The cyst was totally removed during surgery on beating heart. The patient presented herein demonstrates that the mediastinal and cardiac involvement in hydatid disease could manifest in children with fast growth and rupture
Asunto(s)
Humanos , Masculino , Quiste Mediastínico , Cardiopatías/microbiología , Ecocardiografía , Ecocardiografía Transesofágica , Niño , Pruebas de HemaglutinaciónRESUMEN
La hidatidosis de localización torácica extrapulmonar es infrecuente, más aún si es cardiopericárdica asintomática. Se presenta un caso con evolución inicial extrapericárdica que, extirpada por videotoracoscopia, un año más tarde presentó una forma múltiple de quistes intrapericárdicos, algunos con compromiso miocárdico que necesitaron para su extirpación completa el uso de una bomba de circulación extracorpórea. No se indicó tratamiento con Albendazol en las 2 oportunidades, y a 50 meses de la segunda operación la enferma se encuentra asintomática, con pruebas serológicas negativas y sin imágenes radiológicas (TAC) y ecocardiográficas patológicas.
Extrapulmonary localization of thoracic hydatidosis, specially when it is asymptomatic, is uncommon. We report a 29 years old woman with a hydatid cyst located besides the pericardium. The cyst was removed by video thoracoscopy. One year later an echocardiography showed a cystic image in the pericardium. She was operated by open thoracoscopy and multiple intrapericardiac cysts were removed. Fifty months after the procedure, the patient is asymptomatic without serological or imaging evidence of relapse of the hydatidosis.