Hydatid cyst of the neck

Case contributed by Dr Lourdes Simbrón Ribbeck

Presentation

Presented to the ER with fever and a previous history of painless growing tumor in neck for two years.

Patient Data

Age: 13 years
Gender: Male
X-ray

Slight asymmetry of the cervical soft tissues and tracheal deviation to the left.

CT

Large cystic mass in the right neck with thick walls and mass effect over trachea and vessels. 

Seven months later

CT

An enhanced CT seven months later, shows detachment of membranes, a typical finding of hydatid cyst.

Case Discussion

The neck is an unusual location for hydatid cysts but it has to be taken into account as part of the differential diagnosis for cystic neck lesions in endemic regions. 

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