Hydatid Cyst Mimicking High-Risk Pulmonary Embolism: A Case Report

Pulmonary embolisms take two forms, depending on whether the cause is thrombotic or non-thrombotic. Although emboli with non-thrombotic causes are rare, they should not be ignored during diagnosis. In such cases, a detailed anamnesis should be taken, existing risk factors should be inquired, and additional tests should be made before making a firm diagnosis. In our case, a hydatid cyst embolism that occluded a large part of the pulmonary artery had been identified as a medium–high-risk pulmonary thromboembolism during hospitalization in an external center and thrombolytic treatment had been started. As the patient’s symptoms were identified as unresolved during an outpatient clinic check-up, a hydatid cyst was diagnosed based on the results of a transthoracic fine needle aspiration biopsy and treatment was started.

Yüksek Riskli Pulmoner Emboliyi Taklit Eden Kist Hidatik: Olgu Sunumu

Pulmoner emboliler, trombotik ve nontrombotik nedenlere baðlý olarak iki gruba ayrýlýr. Nontrombotik nedenlere baðlý emboliler nadir görülen nedenler olmakla birlikte taný sýrasýnda gözden kaçýrýlmamalýdýr. Bu gibi durumlarda detaylý anamnez alýnmalý, mevcut risk faktörleri sorgulanmalý ve ek tetkikler ile esas taný konulmalýdýr. Pulmoner arterin büyük bir kýsmýný týkayan hidatik kist embolisi olan olgumuzda, dýþ merkezde yatýþý sýrasýnda orta-yüksek riskli pulmoner tromboemboli olarak deðerlendirilmiþ ve trombolitik tedavi verilmiþtir. Poliklinik kontrolünde semptomlarýnýn devam etmesi üzerine transtorasik ince iðne aspirasyon biyopsisi ile hidatik kist tanýsý konulmuþ ve patolojik tanýya göre tedavi verilmiþtir.