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.