Abstract

Twenty-eight years old female who was presented with fewer and abdominal pain was admitted to our hospital's emergency department (ED). The patient was hospitalized  with diagnosis of pneumonia based on the tests performed at ED. She has been having shoulder and abdomen pain for one week without a known history of the disease earlier in the story. Her body temparature was 38.9o C and pulmonary examination was normal. There was no abnormal findings  in her laboaratuary tests except that; CRP was 9.1 mg/dl and HGB was 9.82 g/dL. Chest x-ray revealed  almost homogeneous density in all zones, especially in the left lung field, but cardiac contour was protected. She did not have cough or sputum, and based on  her chest x-ray findings, we decided to examine CT scan of the lungs, suspecting lung mass. CT report demonstrated  17x9x8 cm thick walled cystic lesion in the left lung and 20 cm cystic lesion covering the liver . The patient consulted with a thoracic surgeon with a preliminary diagnosis of hydatic cyst. The patient underwent surgery by by the Thoracic Surgery Clinic. This case was presented because of the late diagnosis, despite the precence of large cysts in the lung and liver.

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