A Rare Case of Hydatid Cyst Mimicking Multinodular Goiter With Multiorgan Involvement
-
Fereshteh Kamani
,
Aidin Esrafilian
,
Farzad Dehghani
,
Saina Ghadiany
,
Mohammadhosein Aghazadeh
,
Hamidreza Movahedi
Abstract
Hydatid disease is a parasitic zoonosis caused by Echinococcus granulosus, most commonly affecting the liver and lungs. Involvement of the thyroid gland is extremely rare and can mimic more prevalent conditions such as multinodular goiter (MNG). A 26-year-old Iranian woman with a history of consuming contaminated water presented with a painless anterior neck nodule in the thyroid area. Initially diagnosed with multinodular goiter, she underwent total thyroidectomy under general anesthesia. later diagnosed histopathologically as a hydatid cyst of the thyroid, with concurrent cysts identified in the liver and spleen. This case highlights the importance of considering hydatid disease in the differential diagnosis of cystic thyroid lesions, particularly in endemic areas, and discusses diagnosis and management methods.
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2. Khalili N, Iranpour P, Khalili N, Haseli S. Hydatid disease: a pictorial review of uncommon locations. Iran J Med Sci 2023;48:118-29.
3. Salih AM, Abdulla ZY, Mohammed DA, Jwamer VI, Ali PG, Hamasaeed AG, et al. Hydatid cyst of thyroid gland, a rare case report with a literature review. Int J Surg Case Rep 2020;67:267-70.
4. Eshraghi M, Shahmoradi L, Ghoddoosi M, Sadati SJ. Diagnosis of Primary Hydatid Cyst of Thyroid Gland: A Case Report. Biomol Concepts 2019;10:106-10.
5. Jabra S, Chaouch MA, Sboui R, Jellali M, Daoued R, Abdelali M, et al. A case report of abdominal wall hydatidosis: an uncommon location. IDCases 2023;33:e01813.
6. Safarpour MM, Aminnia S, Dehghanian A, Shafiei M, Kalantari M. Primary hydatid cyst of the thyroid glands: two case reports and a review of the literature. J Med Case Rep 2023;17:417.
7. Tessler FN, Middleton WD, Grant EG, Hoang JK, Berland LL, Teefey SA, et al. ACR Thyroid Imaging, Reporting and Data System (TI-RADS): white paper of the ACR TI-RADS committee. J Am Coll Radiol 2017;14:587-95.
8. Bajdechi M, Manolache D, Tudor A, Orghidan M, Gurghean A. Cardiac hydatid cysts in a young man: A case report and a literature review. Exp Ther Med 2022;24:550.
9. Oksuz S, Pektas E, Yavuz M, Aksungur N, Cayir Y, Akcay MN. An unusual cause of hoarseness: hydatid cyst of the thyroid. Trop Biomed 2013;30:642-4.
10. Mani S, Joya HU, Alansari AN, Youssef SB, Ksia A, Al-Zoubi RM. Isolated diaphragmatic hydatid cyst: a rare entity in the paediatric population. J Surg Case Rep 2024;2024:rjae488.
11. Abdullah AM, Rashid RJ, Tahir SH, Fattah FH, Hama JI, Abdullah HO, et al. Diagnosis of a pulmonary hydatid cyst by fine needle aspiration: a case report with literature review. Ann Med Surg 2024;86:552-55.
12. Yesilyurt M, Esdur V. Anatomical-based imaging of cystic echinococcosis and review of the current literature. Eurasian J Med 2023;54:S1-S9.
13. Ahmed HA, Almasoudi EA, Hetaimish BM, Samargandi R. Primary Hydatid Cyst of the Thigh: Atypical Location and Perioperative Strategies to Minimize Recurrence After Accidental Cyst Rupture. Cureus 2023;15:e42915.
14. Aledavoud A, Mohammadi M, Ataei A, Jafari F, Ziaei SM, Vaziri S, et al. Thyroid involvement in cystic echinococcosis: a systematic review. BMC Infect Dis 2024;24:889.
15. Semerkant T, Esme H. Primary Mediastinal Hydatid Cysts. J Surg Med 2020;4:909-11.
16. Najdaghi S, Alizadehasl A, Abbaszade N, Jebelli SFH, Davani DN, Aliabadi AY, et al. Combination therapy of albendazole and praziquantel for treatment of cardiac and multiorgan hydatid cyst: a case report of novel treatment and literature review. Clin Case Rep 2024;12:e9610.
17. Buscemi C, Randazzo C, Buscemi P, Caldarella R, Lombardo M, Buscemi S. Very prolonged treatment with albendazole of a case of disseminated abdominal cystic echinococcosis. Trop Med Infect Dis 2023;8:449.
| Files | ||
| Issue | Vol 64 No 6 (2026) | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/acta.v64i6.22343 | |
| Keywords | ||
| Hydatid disease Thyroid cyst Multinodular goiter Echinococcus granulosus Liver hydatid Splenic cyst Case report | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Kamani F, Esrafilian A, Dehghani F, Ghadiany S, Aghazadeh M, Movahedi H. A Rare Case of Hydatid Cyst Mimicking Multinodular Goiter With Multiorgan Involvement. Acta Med Iran. 2026;64(6):399-402.
