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World J Clin Cases. Apr 6, 2020; 8(7): 1203-1212
Published online Apr 6, 2020. doi: 10.12998/wjcc.v8.i7.1203
Thoracic hydatid disease: A radiologic review of unusual cases
Mnahi Bin Saeedan, Ibtisam Musallam Aljohani, Khalefa Ali Alghofaily, Shukri Loutfi, Subha Ghosh
Mnahi Bin Saeedan, Ibtisam Musallam Aljohani, Department of Radiology, King Faisal Specialist Hospital and Research Center, King Faisal Specialist Hospital and Research Center, Riyadh 11211, Saudi Arabia
Khalefa Ali Alghofaily, Medical Imaging Department, Qassim University, College of Medicine, Buraydah 52571, Saudi Arabia
Shukri Loutfi, Medical Imaging Department, Chest Radiology Section, King Abdulaziz Medical City, Riyadh 12746, Saudi Arabia
Subha Ghosh, Imaging Institute, Section of Thoracic Imaging, Cleveland Clinic, Cleveland, OH 44195, United States
Author contributions: Bin Saeedan M, Aljohani IM, Alghofaily KA, Loutfi S and Ghosh S contributed to the writing, revising of the manuscript.
Conflict-of-interest statement: There is no conflict of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Subha Ghosh, MD, Assistant Professor, Staff Physician, Imaging Institute, Section of Thoracic Imaging, Cleveland Clinic, 9500 Euclid Avenue, L/10, Cleveland, OH 44195, United States. ghoshs2@ccf.org
Received: December 25, 2019
Peer-review started: December 25, 2019
First decision: January 17, 2020
Revised: January 24, 2020
Accepted: March 22, 2020
Article in press: March 22, 2020
Published online: April 6, 2020
Processing time: 102 Days and 23.8 Hours
Abstract

Hydatid disease or echinococcosis is a zoonotic parasitic disease. The lung is the second most commonly affected organ after the liver. Intra-thoracic and extra-pulmonary hydatid disease is uncommon and may involve the pleura, mediastinum, heart, diaphragm, and chest wall. Unusual locations or complications of thoracic hydatid disease may pose a diagnostic challenge. We present imaging findings of cases with unusual location and presentations of thoracic hydatid disease with emphasis on their clinical implications.

Keywords: Hydatid; Thoracic; Cysts; Imaging; Unusual; Extra-pulmonary

Core tip: Hydatid disease is a parasitic zoonosis which is prevalent in sheep-rearing regions of the world. The thoracic cavity can be affected by hydatid cysts in multiple different ways. Although lungs are the most common affected site, hydatid cyst can be located in any part of the chest. Unusual location or complications can pose a diagnostic challenge and may influence treatment options. Radiologists and clinicians should be aware of the imaging manifestations of hydatid disease and consider the diagnosis upon encountering unusual cystic lesions in the chest, particularly in patients who lived in endemic areas or have evidence of hydatid disease elsewhere in the body