Conclution:
In conclusion, this case differs from other CHCs previously reported in
the literature due to the advanced stage of the disease, atypical
clinical presentation, and rare complications despite the young age of
the case. Such cases should alert clinicians, especially if the patient
comes from an area where the disease is endemic. Keep in mind the
possibility of a CHC, even if the symptoms are not typical, and
conducting rigorous investigations using detailed clinical evaluation
and available diagnostic methods is highly important. If HCD is
detected, systemic findings should also be investigated carefully.
Regardless of the localization of KCC, its treatment is a surgical
intervention without delay.