Hepatic cystic echinococcosis with the involvement of the pericardium: a case letter

Conflict of interest statement

The authors declare no conflict of interest.

Author contributions

Niu M and Qing K wrote the manuscript. Guo T, Zhang Y, and Guo C collected the data, and Zhang X corrected the manuscript scientifically. Han H supervised the project and critically revised the manuscript for important intellectual content. All the authors have read and approved the final version of the manuscript.

Funding

(1) Natural Science Foundation of Tibet Autonomous Region (XZ202501ZR0145, XZ2024ZR-ZY048(Z)), (2) Natural Science Foundation of Tibet Autonomous Region Group Medical Aid Project (XZZR202402030(W), XZZR202402077(W), XZZR202402120 (W)), and (3) Natural Science Foundation of Shigatse (RKZ2024ZR- 003(Z)).

Ethical approval of studies and informed consent

The study followed the principles of the Declaration of Helsinki as revised in 2013. The publication of the individual case report was exempt from ethical approval according to the guidelines of the People’s Hospital of Shigatse City, and written informed consent was obtained from the patient.

Acknowledgments

The authors thank the medical staff of the Department of Cardiovascular Medicine at People’s Hospital of Shigatse City. The authors are grateful to the patient and her family for their valuable support during the preparation of this manuscript.

References

[1] Wen H, Vuitton L, Tuxun T, et al. Echinococcosis: advances in the 21st century. Clin Microbiol Rev. 2019; 32(2):e00075-e00018. doi:10.1128/cmr.00075-18

[2] Agudelo Higuita NI, Brunetti E, McCloskey C. Cystic echinococcosis. J Clin Microbiol. 2016; 54(3):518-523. doi:10.1128/jcm.02420-15

[3] Weber TF, Junghanss T, Stojković M. Pulmonary cystic echinococcosis. Curr Opin Infect Dis. 2023; 36(5):318-325. doi:10.1097/qco.0000000000000962

[4] Mirijello A, Pepe G, Zampiello P, Criconia GM, Mendola A, Manfrini A. A male patient with syncope, anaphylaxis, and ST-elevation: hepatic and cardiac echinococcosis presenting with Kounis syndrome. J Emerg Med. 2016; 51(4):e73-e77. doi:10.1016/j.jemermed.2016.06.011

[5] Cacciapuoti F, Capone V, Golino P, Pezzullo E, Bossone E, Cacciapuoti F. Allergy, infarction, and stress cardiomyopathy: in-depth analysis of a complex clinical case report. Emerg Crit Care Med. 2025; 5(2):116-120. doi:10.1097/ec9.0000000000000134

[6] Nunes MC, Guimarães Júnior MH, Diamantino AC, Gelape CL, Ferrari TC. Cardiac manifestations of parasitic diseases. Heart. 2017; 103(9):651-658. doi:10.1136/heartjnl-2016-309870

[7] Fan X, Bian Y, Wang G, et al. Trends in point-of-care ultrasound protocols in the emergency department and intensive care unit: a review. Emerg Crit Care Med. 2023; 3(2):64-69. doi:10.1097/ec9.0000000000000066

[8] McManus DP, Gray DJ, Zhang W, Yang Y. Diagnosis, treatment, and management of echinococcosis. BMJ. 2012; 344:e3866. doi:10.1136/bmj.e3866

[9] Yan J. Inferior vena cava obstruction secondary to hepatic alveolar echinococcosis: a case report. Egyptian Liver J. 2025; 15(1):8. doi:10.1186/s43066-025-00413-3

[10] Siles-Lucas M, Uchiumi L, Tamarozzi F. ‘No cyst, no echinococcosis’: a scoping review update on the diagnosis of cystic echinococcosis after the issue of the WHO-IWGE Expert Consensus and current perspectives. Curr Opin Infect Dis. 2023; 36(5):333-340. doi:10.1097/qco.0000000000000941

[11] Berto CG, Liou P, Coyle CM, Emond JC. Surgical management of cystic echinococcosis of the liver. Curr Opin Infect Dis. 2023; 36(5):348-352. doi:10.1097/qco.0000000000000955

[12] Trigui A, Fendri S, Saumtally MS, et al. Standardized approach to the conservative surgery of hepatic cystic echinococcosis: a prospective study. PLoS Negl Trop Dis. 2024; 18(6):e0012289. doi:10.1371/journal.pntd.0012289

[13] Akpinar I, Tekeli S, Sen T, et al. Extremely rare cardiac involvement: recurrent pericardial hydatid cyst. Intern Med. 2012; 51(4):391-393. doi:10.2169/internalmedicine.51.6370