An interesting view of diaphragmatic hydatid cyst

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163 doi: 10.5606/tgkdc.dergisi.2016.11196

Turk Gogus Kalp Dama 2016;24(1):163-164

_{Interesting Image / İlginç Görüntü}

An interesting view of diaphragmatic hydatid cyst

Diyafragmatik kist hidatiğin ilginç bir görünümü

Yener Aydın,1_{Hayri Oğul,}2_{Bayram Altuntaş,}1_{Atilla Eroğlu}1

A 26-year-old female patient presented with nausea, anorexia, and vomiting. Posteroanterior chest X-ray showed right diaphragmatic eventration (Figure 1a). Sagittal T1-weighted magnetic resonance image revealed multicystic lesion in the diaphragm (Figure 1b). In the axial chest computed tomography and coronal T2-weighted magnetic resonance imaging, multicystic type 3 hydatid cyst was observed along the right hemidiaphragm. Cysts were observed in the left hemidiaphragm extension of the diaphragm (Figure 2a, b). In the axial T2-weighted magnetic resonance imaging, multiple type 3 hydatid cyst was observed arising from the diaphragm (Figure 2c). The patient underwent a right posterolateral thoracotomy. Hydatid cyst originated from the diaphragm. There was no association with lung and liver (Figure 3a). The cyst membranes were extracted and the defect at the diaphragm was primarily repaired using silk sutures (Figure 3b).

Received: November 19, 2014 Accepted: April 10, 2015

Correspondence: Yener Aydın, M.D. Atatürk Üniversitesi Tıp Fakültesi Göğüs Cerrahisi Anabilim Dalı, 25240 Erzurum, Turkey.

Tel: +90 535 - 784 89 70 e-mail: dryeneraydin@hotmail.com Available online at

www.tgkdc.dergisi.org

doi: 10.5606/tgkdc.dergisi.2016.11196 QR (Quick Response) Code

Departments of 1_{Thoracic Surgery,}2_{Radiology, Medical Faculty of Atatürk University, Erzurum, Turkey}

Figure 1. (a) Posteroanterior chest X-ray showing right

diaphragmatic eventration. (b) Sagittal T1-weighted magnetic resonance image revealing multicystic lesion in diaphragm.

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Figure 2. (a, b) Cysts in left

hemidiaphragm extension of diaphragm. (c) Multiple type 3

hydatid cyst arising from the diaphragm.

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Figure 3. (a) Hydatid

cyst originated from the diaphragm. (b) Cyst

membranes were extracted and defect at diaphragm was primarily repaired using silk sutures.

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Turk Gogus Kalp Dama

164

Funding

The authors received no financial support for the research and/or authorship of this article.

REFERENCES

1. Aydin Y, Ozgokce M, Naldan ME, Turkyilmaz A, Eroglu A. Diaphragmatic hydatid cyst: a report of three cases. Turk Gogus Kalp Dama 2014;22:672-5.

Diaphragmatic hydatid cyst is extremely rare. It is seen as particularly associated with hepatic cysts.[1]

Diagnosis of diaphragmatic hydatid cyst is difficult and standard treatment is surgery.

Declaration of conflicting interests