Primary extrahepatic hydatid cyst of the thigh, an unusual presentation of sciatica: A case report of a diagnostic challenge.

Autor:	Zendeoui A; Orthopaedic Department, Mongi Slim Hospital, Tunisia. Electronic address: ahmed.zendeoui@gmail.com., Gharbi MA; Orthopaedic Department, Mongi Slim Hospital, Tunisia., Nefiss M; Orthopaedic Department, Mongi Slim Hospital, Tunisia., Ezzine MH; Orthopaedic Department, Mongi Slim Hospital, Tunisia., Tborbi A; Orthopaedic Department, Mongi Slim Hospital, Tunisia., Bouzidi R; Orthopaedic Department, Mongi Slim Hospital, Tunisia.
Jazyk:	angličtina
Zdroj:	International journal of surgery case reports [Int J Surg Case Rep] 2024 Apr; Vol. 117, pp. 109545. Date of Electronic Publication: 2024 Mar 20.
DOI:	10.1016/j.ijscr.2024.109545
Abstrakt:	Introduction: Sciatica, a condition characterized by pain along the sciatic nerve distribution, is commonly associated with nerve compression or irritation. However, its etiology can vary, including rare non-spinal causes such as hydatid cysts. We present a case of hydatid cyst in the thigh causing sciatica-like symptoms, highlighting the diagnostic challenges and management approach. Case Presentation: A 40-year-old patient with a history of pulmonary tuberculosis presented with persistent lumbosciatic pain despite conservative treatment. Physical examination revealed left sciatica without spinal abnormalities. MRI revealed a hydatid cyst in the thigh, causing nerve irritation. Surgical resection of the cyst was performed, achieving symptom resolution. Discussion: Hydatid cysts in skeletal muscles are rare, with atypical presentations complicating diagnosis. Localization in the thigh, particularly the biceps femoris muscle, is uncommon. Diagnostic modalities include imaging and serological tests, while treatment involves surgical excision and postoperative albendazole therapy. Conclusion: Recognition of rare presentations like thigh hydatid cysts causing sciatica-like symptoms is crucial for timely diagnosis and management. This case emphasizes the importance of considering unusual etiologies in refractory sciatica cases and underscores the complexity of medical diagnosis. Increased awareness among healthcare providers can lead to improved patient outcomes and prevent diagnostic delays. Competing Interests: Declaration of competing interest The author(s) declared no potential conflicts of interest. (Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
Databáze:	MEDLINE
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