Adductor magnus muscle primary hydatid cyst rare unusual site: A case report
| Autor: | Samer Makki Mohamed Al-Hakkak |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Incisional biopsy
medicine.medical_specialty Adductor magnus muscle Hydatid cyst Thigh Article Albendazole 03 medical and health sciences 0302 clinical medicine parasitic diseases medicine 030212 general & internal medicine Right Thigh Intramuscular business.industry Unusual site medicine.disease Echinococcosis Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Differential diagnosis business Primary medicine.drug |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| DOI: | 10.1016/j.ijscr.2018.09.026 |
| Popis: | Highlights • Human echinococcosis remains highly dependent on imaging techniques to detect the cystic space occupying lesion. • The treatment of human muscle hydatidosis is principally surgical. • Hydatid disease should be included in the differential diagnosis of muscular masses, especially in endemic area. • Serological tests are then typically used to confirm the diagnosis. • Yet, excision of hydatid cysts of the soft tissues can sometimes be problematic because of the absence of cleavage lines. Introduction The preferred localization of human echinococcosis is the liver and lungs, which account for 85% of cases. Primary musculoskeletal hydatidosis are seldom reported in literature and their incidence is unknown. Primary solitary intramuscular hydatid disease is rare, even in countries in which echinococcosis is endemic and accounts for 1% of all human echinococcosis sites. Case presentation 37-year-old male farmer presented with primary hydatid cyst of the upper medial side of right thigh (Inside adductor magnus muscle) who was managed successfully by preoperative and postoperative dual treatment of albendazole together with surgery. Discussion This site of localization has not been reported previously. It is essential to establish definitive preoperative diagnosis of skeletal muscle hydatid cysts. This contraindicates certain treatment options like marginal excision or incisional biopsy due to the likelihood of dissemination and anaphylactic shock on spillage. Pericystectomy remains treatment of choice in musculoskeletal hydatid cysts. Conclusion Hydatid disease should be included in the differential diagnosis of muscular masses, regardless of its location, especially in endemic areas. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|