Diagnosis of a hepatic hydatid cyst using posteroanterior chest radiography

A 64-year-old male patient with chronic obstructive pulmonary disease presented to our hospital with back pain. Posteroanterior chest radiography findings indicated a calcified, solid nodule having smooth borders and located on the right side, under the diaphragm (Figure 1). Based on the findings, a presumptive diagnosis of a hepatic hydatid cyst was made.

FİGURE 1:
Posteroanterior chest radiography showing a subdiaphragmatic calcified hepatic hydatid cyst.

A hydatid cyst is a parasitic disease caused by Echinococcus granulosus. It is a notable health problem in regions where livestock is still widely dealt with¹. The liver and the lungs are the affected organs in approximately 80% and 22% of cases, respectively². When a hydatid cyst is ruptured and complicated, the patient may have several additional radiological findings³. Malignant diseases and other cystic lesions should be considered when making the differential diagnosis. Ultrasonography, computed tomography, magnetic resonance imaging, and serological tests can be performed as complementary techniques for diagnosis³. Our findings suggest that a calcified hepatic hydatid cyst can sometimes be detected through direct chest radiography.

REFERENCES

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  Aydin Y, Celik M, Ulap AB, Eroglu A. Transdiaphragmatic approach to liver and lung hydatid cysts. Turk J Med Sci. 2012;42(Sup.2):1388-93.
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  Aydin Y, Ulas AB, Ince I, Korkut E, Ogul H, Eren S, et al. Large Case Series Analysis of Cystic Echinococcosis. Indian J Surg. 2021;83(Suppl 4):S897-S906. Available from: https://doi.org/10.1007/s12262-021-03061-0
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  Aydin Y, Altuntas B, Kaya A, Ulas AB, Uyanık MH, Eroglu A. The Availability of Echinococcus IgG ELISA for Diagnosing Pulmonary Hydatid Cysts. Eurasian J Med. 2018;50(3):144-7.

• Financial Support: The authors declare that the article content was composed in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Publication Dates

• Publication in this collection
  25 July 2022
• Date of issue
  2022

History

• Received
  11 Apr 2022
• Accepted
  19 May 2022