Introduction
A 68-year-old woman with a history of hepatic hydatidectomy two years
ago complained of a large right-sided cervical mass. In ultrasound
imaging, a huge (45mm×75mm) mass was detected in the base of the right
side of the neck. Moreover, multiple cystic lesions involving the two
lobes of the liver were found. Despite the absence of cardiac symptoms,
transthoracic echocardiographic examination revealed a large (33mm×42
mm) echo lucent cystic mass plugged into the interventricular septum. A
positive serology test confirmed the diagnosis of hydatidosis. Treatment
with antiprotozoal medication was started, and after two weeks, the
patient successfully underwent surgical hydatidectomy using the
cardiopulmonary bypass. This case highlights the rare concomitant
cardiac, cervical, and hepatic involvement with hydatid disease.
Together, a good understanding of the atypical manifestations, potential
associated risk factors, and epidemiology leads to the optimal and
timely management of such patients to minimize worse outcomes.