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Case Report
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| Primary posterior mediastinal hydatid cyst mimicking malignant mediastinal neurogenic tumor | ||||||
| Aram Baram1, Fahmi H Kakamad2, Ali A Alwan3 | ||||||
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1MD, MRCS, FACS, University of Sulaimani /Faculty of Medical Sciences, School of Medicine/Department of Thoracic and Cardiovascular Surgery, François Mitterrand Street, Sulaymaniyah, IRAQ.
2MD, University of Sulaimani/Faculty of Medical Sciences, School of Medicine/Department of Thoracic and Cardiovascular Surgery/ François Mitterrand Street, Sulaymaniyah, IRAQ. 3MD, FICMS, University of Sulaimani/Faculty of Medical Sciences, School of Medicine/Department of Orthopedics and Trauma/François Mitterrand Street, Sulaymaniyah, IRAQ. | ||||||
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| How to cite this article |
| Baram A, Kakamad FH, Alwan AA. Primary posterior mediastinal hydatid cyst mimicking malignant mediastinal neurogenic tumor. International Journal of Case Reports and Images 2014;5(1):54–57. |
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Abstract
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Introduction:
Hydatid disease is caused by Echinococcus granulosus parasite. It is an endemic disease; particularly in many Mediterranean countries. Bone involvement is reported in 1–2% of the cases and about 50% of those are seen in the spine. Herein we report a case of primary spinal extradural hydatid cyst that caused paraplegia due to compression of the dorsal spinal cord and was diagnosed initially as case of lumbar prolapsed intervertebral disc.
Case Report: A 40-year-old female referred to us suffering from painful spastic weakness of lower limbs, her condition started six months earlier to admission and she became paraplegic for last four months with loss of bladder and bowel control. She had L4, L5 lumbar laminectomy four months earlier as she was diagnosed as lumbar prolapsed intervertebral disc. After a thorough diagnostic workup, it was provisionally found that she has a malignant posterior mediastinal mass, but surprisingly only intraoperatively we discovered that she had only a posterior mediastinal hydatid cyst, which had been treated accordingly. Conclusion: Hydatid cyst may speculate all types of thoracic tumors so high index of suspension should be considered in treating thoracic tumors in an endemic area. | |
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Keywords:
Mediastinal hydatid cyst, Neurogenic tumor, Paraplegia
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Author Contributions
Aram Baram – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Fahmi H Kakamad – Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Ali A Alwan – Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Aram Baram et al. 2014; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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About The Authors
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