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Pulmonary hydatid seeding mimicking hematogenous metastases: Sonographic diagnosis of hydatid rupture into the inferior vena cava

✍ Scribed by Dr. J. M. Segura; P. Conthe; R. Martin


Publisher
John Wiley and Sons
Year
1989
Tongue
English
Weight
242 KB
Volume
17
Category
Article
ISSN
0091-2751

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✦ Synopsis


Hydatid disease is an endemic zoonosis of the Mediterranean area. Its frequency in the lung is second only to that of the liver.'

Multiple hydatid sowing of the lung is an uncommon complication that may be misdiagnosed as hematogenous carcinomatosis. Its appearance on a chest X-ray may be misinterpreted and histology not obtained.2

This case report illustrates a cause of cannonball "secondaries" in a patient with symptoms referable t o the chest that were not due t o metastatic malignancy. The diagnosis of pulmonary hydatid sowing was made by echography, which showed a hydatid cyst rupturing into the inferior vena cava.