Abderrazzak Ajertil¹*, Youssef Mehdi², Mohamed Cherkaoui Malki¹ and Najat Kabbaj¹

¹Department of Radiology, Cheikh Zaid International University Hospital, Rabat, Morocco
²Department of Intensive Care, Cheikh Zaid International University Hospital, Rabat, Morocco

*Corresponding Author: Abderrazzak Ajertil, Department of Radiology, Cheikh Zaid International University Hospital, UIASS, Rabat, Morocco.

Received: September 22, 2025; Published: October 15, 2025

Abstract

Cystic echinococcosis is a parasitic disease caused by Echinococcus granulosus. Transmission to dogs occurs when infected viscera containing hydatid cysts are ingested, allowing the parasite to complete its life cycle.

We report the case of a 69-year-old male presenting with signs of right-sided heart failure. Imaging revealed a massive septated hepatic hydatid cyst compressing the right cardiac chambers, impairing diastolic filling, and causing symptomatic right heart failure. Computed tomography (CT) confirmed a giant cyst measuring 215 × 162 mm. Surgical excision resulted in immediate relief; however, recurrence occurred within one week, requiring reoperation. After the second surgery, the patient remained asymptomatic with no recurrence on long-term follow-up.

Cardiac echinococcosis typically involves intramyocardial cysts, whereas this case represents an unusual extracardiac location. Extrinsic compression of the right heart chambers by hepatic hydatid cysts is extremely rare. Complete surgical excision provides rapid symptom resolution, but recurrence remains a clinically significant concern.

Keywords: Hydatid Cyst; Hepatic Echinococcosis; Right Heart Failure; Surgical Excision; Recurrence, Computed Tomography

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Citation

Citation: Abderrazzak Ajertil., et al. “Cardiac Compression by a Giant Hepatic Hydatid Cyst: A Rare Case Report".Acta Scientific Gastrointestinal Disorders 8.11 (2025): 01-03.

Copyright

Copyright: © 2025 Abderrazzak Ajertil., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.