Abstract:
Abstract—Background: With hydatid cyst, the skeletal
muscles and diaphragm are rarely affected, and hepatic
and pulmonary hydatid cysts are far more common. We
report a case with an unusual localization of diaphragmatic
and serratus muscle anterior hydatidosis that occurred simultaneously. Case Report: A 37-year-old developmentally
disabled woman presented to the Emergency Department
(ED) of Harran University with tachycardia, tachypnea,
and dyspnea. On pulmonary auscultation, breath sounds
were decreased on the right side. A chest X-ray study
revealed a radiopaque right hemithorax with a mediastinal
shift and tracheal displacement. Thoracic computed tomography scan revealed a hydatid cyst in the serratus muscle
anterior and cystic vesicles in the pleural cavity. The patient
underwent chest drainage. During drainage, daughter vesicles within the pus were detected macroscopically. An
elective thoracotomy was performed after hemodynamic
stabilization of the patient. Postoperative chest X-ray study
demonstrated that the lungs had re-expanded. The patient
had no postoperative complications and was discharged
with relief of all symptoms. Conclusion: Hydatid cyst
should be considered, especially in endemic regions, in
the differential diagnosis in the presence of a rare localization or unexpected clinical presentation. Surgical intervention is the appropriate approach for the treatment
of hydatid cyst when there is concomitant intrathoracic
involvement.
