Case Report

Computed Tomography Findings of Ruptured Hepatic Hydatid Cyst into the Pericardial Space: A Case Report


Hydatidosis, is a parasitic infestation caused by Echinococcus granulosus. Although the disease most commonly affects liver and lungs, almost all organ and tissue involvements are documented. Rupture into pericardial space which may lead to pericardial effusion, pericarditis and pericardial tamponade, can be seen especially in the patients with cardiac hydatidosis. But rupture of a hepatic hydatid cyst into the pericardial space through a transdiaphragmatic fistula is very rare. In this report, we present imaging findings of a type III hepatic hydatid cyst lesion which ruptured spontaneously into pericardial space and caused pericardial effusion.

1. Ali Can Hatemi, Oğuz Omay, Ulaş Kumbasar, Mustafa Canikoğlu, Kaya Süzer. Constrictive pericarditis due to hepatopericardial fistulas of hepatic echinococcosis. Turk Gogus Kalp Dama. 2013;21(1):219 221.
2. Memduh Dursun, Ege Terzibasioglu, Ravza Yilmaz, et al. Cardiac Hydatid Dis-ease: CT and MRI Findings. AJR Am J Roentgenol. 2008;190: 226-232.
3. Konstantinos Alexiou, Sofoklis Mitsos, Athanasios Fotopoulos, et al. Complica-tions of Hydatid Cysts of the Liver: Spiral Computed Tomography Findings. Gastroenterology Res. 2012;5(4):139-143.
4. Martin-Herrero F, Cruz I, Munoz L. Hepatic hydatid cyst rupturing into pericardial cavity. Heart. 2006 Oct;92(10):1536.
5. 5-Ozgur Yagmur, Orhan Demircan, Erol Atilla, Ali Alparslan Mustafa Demirtas. Cardiac Tamponade due to Rupture of a Hepatic Hydatid Cyst into the Pericardium. Dig Surg. 1992:9:329-331.
6. Ahuja SR, Karande S, Koteyar SR, Kulkarni MV. Hepatic hydatid cyst rupturing into sub-diaphragmatic space and pericardial cavity. J Postgrad Med. 2001;47:37-9.
IssueVol 14 No 4 (2019) QRcode
SectionCase Report(s)
Hydatidosis Rupture Computed tomography Pericardial effusion

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How to Cite
ÖZKAÇMAZ S. Computed Tomography Findings of Ruptured Hepatic Hydatid Cyst into the Pericardial Space: A Case Report. Iran J Parasitol. 2019;14(4):674-678.