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Costal Hydatidosis: A Rare Case Report and Review of the Literature FREE TO VIEW

Ferdane Duran, MD; Mustafa Calik, MD; Saniye Calik, MD; Nuri Duzgun, MD; Hidir Esme, MD; Taha Bekci, MD
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Department of Thoracic Surgery, Konya Education and Research Hospital, Konya, Turkey

Chest. 2014;146(4_MeetingAbstracts):426A. doi:10.1378/chest.1993396
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SESSION TITLE: Miscellaneous Global Case Reports

SESSION TYPE: Global Case Report

PRESENTED ON: Tuesday, October 28, 2014 at 01:30 PM - 02:30 PM

INTRODUCTION: The hydatid cyst (HC) is a parasitosis caused by Echinococcus granulosus, a cestode which remains endemic in some parts of the world. Even though the most frequent localization of first two places are the liver and lungs, HC could be anywhere in the body [1,2]. We aim to describe herein patient with costal HC that is very low chance of seeing outside endemic areas by many surgeons and physicians

CASE PRESENTATION: 41-year-old man was admitted to our clinic with left back pain. A physical examination and laboratory tests revealed no abnormality. 20 years ago, he had an operation for left pulmonary HC. Thorax CT showed a cystic and expanding mass in the 9th and10th ribs with destruction of vertebral transverse process.Patient underwent posterolateral thoracotomy. It was completely removed. Diagnosis was verified with surgical exploration and histopathological examination. The patient was discharged on 6th postoperative day without any complaints. Patients were treated with albendazole (10 mg/kg/ daily) for three months.

DISCUSSION: HC involves bones in 0.5% to 2% of all cases with 50% involving the vertebrae[3]. Costal Hydatidosis is extremely rare. Approximately sixty adult patients with HC of the ribs have been reported in the literature [4].

CONCLUSIONS: Costal HC is extremely rare even in endemic zones such as Turkey. Due to its rarity and unusual localization, diagnosis can be missed easily unless be kept in mind in the differential diagnosis of all lesions

Reference #1: Safioleas M, Nikiteas N, Stamatakos M, Safioleas C, Manti CH, Revenas C, Safioleas P. Echinococcal cyst of the subcutaneous tissue: a rare case report. Parasitol Int. 2008 Jun;57(2):236-8.

Reference #2: Kafaji A, Al-Zain T, Lemcke J, Al-Zain F. Spinal manifestation of hydatid disease: a case series of 36 patients. World Neurosurg. 2013 Nov;80(5):620-6.

Reference #3: Demir HA, Demir S, Emir S, Kacar A, Tiryaki T. Primary hydatid cyst of the rib mimicking chest wall tumor: a case report. J Pediatr Surg. 2010 Nov;45(11):2247-9.

DISCLOSURE: The following authors have nothing to disclose: Ferdane Duran, Mustafa Calik, Saniye Calik, Nuri Duzgun, Hidir Esme, Taha Bekci

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