Hydatid embolism from a thoracic aortic pseudoaneurysm presenting as gangrenous toes.

General Thoracic and Cardiovascular Surgery
Abdul Majeed DarFarooq Ahmad Ganai

Abstract

Cystic echinococcosis (hydatid cyst), caused by Echinococcus granulosus, has worldwide distribution and poses a health problem in endemic areas. Embolization of hydatid cysts into the vascular tree is an unusual manifestation of the disease. The hydatid embolism results from spontaneous or traumatic rupture of the cyst, and rare case reports of this kind are not well documented in the literature. We report a case of a hydatid embolism from a ruptured hydatid in a pseudoaneurysm of the thoracic aorta. A 45-year-old woman presented with gangrenous changes of the toes of her right foot. After embolectomy, the histopathology of the embolus was doubtful about its being blood clots around hydatid membranes. Postoperatively, computed tomography (CT) of the chest revealed a pseudoaneurysm of the descending thoracic aorta. Definitive surgery for the pseudoaneurysm was done during a second operation. Numerous hydatid cysts were evacuated from the pseudoaneurysm. This report emphasizes the need for an early diagnosis and treatment of echinococcosis before disabling and life-threatening complications occur.

References

Oct 1, 1991·AJR. American Journal of Roentgenology·W von SinnerH Sharif
Jun 1, 1991·Clinical Radiology·L HendaouiR Hamza
Sep 1, 1985·AJR. American Journal of Roentgenology·I Beggs
Dec 1, 1985·Angiology·H C PardalA Gómez Alonso
Jun 1, 1997·AJR. American Journal of Roentgenology·E M MerkleR Sokiranski
Jul 11, 1998·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·G PapacharalambousG Liapi
Apr 26, 2001·Surgery Today·E OnursalM Ozcan
Jul 15, 2006·La Presse médicale·Seddik OueslatiMounira Châabane

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Citations

Sep 2, 2011·Parasitology Research·Samar N El-BeshbishiGoman A El-Ganainy
Sep 24, 2015·Interactive Cardiovascular and Thoracic Surgery·Tomislav Mestrovic, Mario Sviben

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