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Archives de pédiatrie
Volume 18, n° 9
pages 987-989 (septembre 2011)
Doi : 10.1016/j.arcped.2011.06.008
Received : 10 February 2011 ;  accepted : 14 June 2011
Embolie pulmonaire hydatique chez un enfant
Rare cause of pulmonary embolism in a child

S. Ellouze a, , M. Bahri a, M. Abdennadher b, M. Kossentini a, N. Abid a, S. Chaabouni a, A. Khabir a, T. Boudawara a
a Laboratoire d’anatomie et de cytologie pathologiques, CHU Habib-Bourguiba, route El-Ain, 3029 Sfax, Tunisie 
b Service de chirurgie thoracique et cardiovasculaire, CHU Habib-Bourguiba, route El-Ain, 3029 Sfax, Tunisie 

Auteur correspondant.

L’hydatidose cardiaque est rare. Elle représente 0,5 à 2 % de l’ensemble des localisations hydatiques. Nous rapportons l’observation d’un enfant âgé de 13ans présentant un kyste hydatique du septum interauriculaire compliqué d’une embolie pulmonaire hydatique. L’échocardiographie, le scanner thoracique et la sérologie hydatique confirmaient le diagnostic. Une résection chirurgicale des kystes était réalisée avec une bonne évolution après un recul de 15 mois. Notre observation souligne la nécessité d’un diagnostic et d’une prise en charge rapide du kyste hydatique du cœur avant la survenue des complications. L’objectif de cette étude était de rappeler les principales caractéristiques clinicoradiologiques et évolutives de cette pathologie rare et grave.

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Cardiac hydaticyst is a rare condition and accounts for only 0.5 to 2% of all visceral locations of hydatid disease. The objective of this study was to point out the main clinical, radiological, and disease-course characteristics of this rare and serious pathology. We report a 13-year-old patient with a hydatid pulmonary embolism caused by a hydatid cyst of the interauricular septum. The diagnosis was established by transthoracic echocardiography, thoracic CT scan, and hydatid serology. Surgery was performed without delay and the outcome was good after 15 months of follow-up. This case underlines the need for rapid diagnosis and surgery before complications of cardiac hydatid cyst.

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