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Unusual presentation of more common disease/injury
CASE REPORT
Atypical chest pain in a patient with hydatid cyst of the interventricular septum
  1. Santosh Modani1,
  2. Davala Krishna Karthik2,
  3. Shruti Heda3,
  4. Anirudda Deshpande4
  1. 1Department of Cardiology, Max Care Hospital, Warangal, Telangana, India
  2. 2Department of Radiology, Surya Diagnostics, Warangal, Telangana, India
  3. 3Department of Pathology, Max Care Hospital, Warangal, Telangana, India
  4. 4Department of Neurology, Vinayaka Neuro Multispecialty Clinic, Warangal, India
  1. Correspondence to Dr Anirudda Deshpande, dr.anirudda.deshpande{at}gmail.com

Summary

We report a 57-year-old man presenting with symptoms of sharp pricking, exertional retrosternal chest pain multiple times, each episode lasting for a few seconds. On evaluation, the ECG of the patient showed normal sinus rhythm with T wave inversions in leads V1–V3. Troponin T test was negative. Transthoracic echocardiography showed a globular mass in the interventricular septum. Cardiac MRI was suspicious of the lesion to be a hydatid cyst. Surgical excision of the lesion followed by histopathology was confirmatory of hydatid cyst.

  • radiology
  • infectious diseases
  • cardiovascular medicine

https://doi.org/10.1136/bcr-2018-224833

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    Footnotes

    • Contributors SM and DKK made substantial contributions to the conception and design of the work, and acquisition, analysis and interpretation of the data. SM and AD were involved in drafting the work and revising it critically for important intellectual content. SH approved the final version to be published.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.