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HYDATID PULMONARY EMBOLISM A RARE CAUSE OF NON-THROMBOTIC OF PULMONARY EMBOLISM: REPORT OF 3 CASES AND REVIEW OF PUBLISHED REPORTS
María José Cristo Ropero*, Carolina España Dominguez, Sergio Alonso Charterina, Teresa Segura De La Cal, Fernando Arribas, María Jesús López Gude, Pilar Escribano Subía
Hydatid pulmonary embolism a rare cause of non-thrombotic of pulmonary embolism. Report of 3 Cases and Review of Published Reports Objectives: Cystic echinocccosis is a rare disease that can still be found in some rural areas. Pulmonary embolism due to hydatid cysts, although rare could be its clinical presentation. Methods: We report three clinical cases of hydatid pulmonary embolism (HPE), each one illustrating a particular presentation of this condition. We have carried out an exhaustive review of the literature, comparing our findings with previous ones. Results: HPE is an uncommon condition and only a few case-reports can be found in the literature. We report three clinical cases each one illustrating a particular presentation of this condition. The first one constitutes a chronic active form, the second represents a chronic stable isolated pulmonary affection, while the third case describes the clinical course of an acute HPE. This report is also the first to describe an exceptional case of chronic stable hydatidosis with isolated involvement of the pulmonary artery. HPE clinical presentation can be very varied because it is related to the size and location of the cysts. Surgery is the treatment of choice, but it is not always feasible. Hence, the diagnostic and therapeutic approaches as well as prognosis vary depending on HPE presentation. Conclusion: Hydatid pulmonary embolisms are rare but should be taken into account in the differential diagnosis of non-thrombotic PE. Diagnostic and therapeutic approaches need to take into account the possible clinical presentations and importantly, the feasibility of a surgical approach, which is to date the only definitive treatment.[Full Text Article]