A recurrent hydatid cyst of the thigh diagnosed 13 years after initial presentation

Abstract

This case presents a hydatid cyst of the thigh in a 57-year-old patient born and raised in rural Montenegro. He presented with a painful erythematous mass on the lateral aspect of the right thigh at the site of a previous cystic mass resection 13 years earlier. Complete surgical resection was conducted, histopathology revealed laminated membranes and polymerase chain reaction was positive for Echinococcus granulosus. Primary musculoskeletal hydatidosis is a rare entity and diagnosis is challenging. Any cystic lesion in a patient from an endemic area should raise the possibility of echinococcosis, regardless of anatomic location. The key aspects of diagnosis, albendazole treatment and surgical management are discussed.

Primary Hydatid Cyst of the Thigh: Atypical Location and Perioperative Strategies to Minimize Recurrence After Accidental Cyst Rupture

“…In this study, primary HC was found in the quadriceps compartment of the left thigh. Many reports in the literature list cases of hydatid disease in the adductors and quadriceps compartments of the thigh [ 4 , 5 , 7 - 14 ]. Most patients in such cases were females [ 4 , 5 , 7 - 13 ].…”

“…Many reports in the literature list cases of hydatid disease in the adductors and quadriceps compartments of the thigh [ 4 , 5 , 7 - 14 ]. Most patients in such cases were females [ 4 , 5 , 7 - 13 ]. The worm can remain dormant for an extended period of time (months to decades) without presenting any particular symptoms of hydatid disease [ 2 ].…”

“…Most patients in such cases were females [4,5,[7][8][9][10][11][12][13]. The worm can remain dormant for an extended period of time (months to decades) without presenting any particular symptoms of hydatid disease [2].…”

Hydatid cyst of the thigh: A case report with literature review

“…The current case reported positive history of animal contact without fulfilling any preventive measure. Up to date, 17 cases of HD of the thigh have been reported in the literature [ 2 , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [19] , [20] , [21] , [22] , [23] ]. The age ranged between 8 to 61 years [ 12 , 21 ].…”