Is Hydatid Cyst with Musculoskeletal Involvement a Problem that Causes Morbidity? Long-Term Follow-Up and Functional Results

Kaya, Hüseyin; Karahan, Gokhan; Sabah, Dündar

doi:10.1007/s43465-021-00556-6

Cited by 5 publications

(6 citation statements)

References 20 publications

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“…Hydatid cysts continue to be an endemic infestation due to the lack of regular public health controls, unauthorized and irregular breeding of small cattle, and the lack of care for stray dogs ( 4 ). Muscle tissue contains high blood pressure and lactic acid, which is not suitable for the survival of this parasite ( 10 ). In the literature, 3 cases of solitary hydatid cyst in the infraspinatus muscle have been described before ( 7 – 9 ).…”

Section: Discussionmentioning

confidence: 99%

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An Unusual Cause of Insidious Back and Shoulder Pain in a Man: A Case Report

Kaya,

Gönder

2024

IJPA

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Hydatid cyst is an infestation caused by Echinococcus granulosus, which is endemic in most countries and most commonly affects the liver and lungs. Isolated muscle involvement is very rare and accounts for 3-5% of all cases. In April 2022, Health Sciences University Elaziğ Fethi Sekin City and Research Hospital in Turkey received a referral for a 37-year-old male patient from the physical therapy and rehabilitation outpatient clinic. The patient presented with complaints of chronic pain in his left shoulder and back, which worsened with movement. After the radiological and serological confirmation of diagnosis, the patient underwent wide surgical resection, adjuvant and neoadjuvant anthelmintic chemotherapy. Precise and complete removal of the cyst without infecting the surrounding tissues combined with anthelmintic chemotherapy will not only increase the success of the surgery but will also minimize the possibility of recurrence and distant organ spread. In this study, we aimed to raise awareness by presenting the first reported isolated hydatid cyst in the infraspinatus muscle case from our country, which is extremely rare.

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Section: Discussionmentioning

confidence: 99%

“…In our case, we completely excised the cyst with a clean surgical margin. In order to inactivate microscopic scolices that may have survived after excision, the potential space formed after excision was washed with 20% saline solution ( 2 , 10 ).…”

Section: Discussionmentioning

confidence: 99%

An Unusual Cause of Insidious Back and Shoulder Pain in a Man: A Case Report

Kaya,

Gönder

2024

IJPA

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“…The sensitivity of the CF test varies between 36% and 93%. Additionally, this method plays a significant role in postoperative assessment [3].…”

Section: Magneticmentioning

confidence: 99%

“…The infrequency of this occurrence can be credited to the existence of lactic acid within muscles, which generates an unfavorable setting for the parasite's development. [3]. A comprehensive examination of existing literature highlights that the available information mostly consists of isolated case reports, encompassing a diverse array of affected muscle groups [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

The Treatment of Soft Tissue Hydatidosis through an Oncological Approach: A Review of 13 Cases with an Average Follow-Up of 43 Months

Safali,

Aydin

2023

JAMMR

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Aim: The primary aim of this retrospective study was to assess the clinical results, instances of local recurrence, and the occurrence of complications related to the utilization of antihelminthic chemotherapy and comprehensive resection in patients diagnosed with muscle or bone hydatidosis. Methods: A retrospective analysis was conducted on 13 patients diagnosed with muscular hydatid disease. The study included 13 patients (8 males and 5 females) who were treated for muscle hydatidosis between 2010 and 2020. The average age at the time of surgery was 38 years, ranging from 23 to 52 years. All patients underwent comprehensive resection and received preoperative and postoperative chemotherapy using albendazole. The follow-up period averaged 43 months, ranging from 32 to 60 months. Results: All patients exhibited positive clinical outcomes, and no instances of local recurrence were observed. Surgical complications were encountered in 3 patients (23%): one case of superficial infection and two cases of hematoma. An additional surgical procedure (local debridement and vacuum-assisted drainage system) was required for one patient (8%). Employing an aggressive approach involving antihelminthic chemotherapy and extensive resection resulted in favorable clinical outcomes and reduced the risk of local recurrence in patients with musculoskeletal hydatidosis. While potential complications from aggressive surgery should be weighed, they are still preferable over the potential morbidity associated with local and systemic dissemination. Conclusion: Muscular hydatid cysts are rare, and wide resection together albendazol treatment are effective in patients with soft-tissue hydatid cysts.

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“…mostly with E. granulosus (cystic echinococcosis; CE) and/or E. multilocularis (alveolar echinococcosis; AE). The disease is transmitted between humans and animals and seriously threatens human health [ 1 , 2 ]. The incidence of echinococcosis is low, but biological behavior of the parasites is quite complex.…”

Section: Introductionmentioning

confidence: 99%

Imaging Manifestations and Misdiagnosis Analysis of Six Cases of Bone Hydatid Disease

et al. 2022

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We retrospectively evaluated the clinical and imaging features of 6 patients with bone hydatid disease confirmed by surgery and pathological examination. Among the 6 patients, 2 were infected with Echinococcosis granulosus metacestode and 4 were infected with E. multilocularis metacestode. The 2 cases with cystic echinococcosis were diagnosed by computed tomographic (CT) examination, and other 4 cases were diagnosed by magnetic resonance (MR) imaging. On the initial evaluation, 1 case each was misdiagnosed as a giant cell tumor or neurogenic tumor, and 2 were misdiagnosed as tuberculosis. The imaging manifestations of bone hydatid disease are complex, but most common findings include expansive osteolytic bone destruction, which may be associated with sclerosing edges or dead bone formation, localized soft tissue masses, and vertebral lesions with wedge-shaped changes and spinal stenosis. Combining imaging findings with the patient’s epidemiological history and immunological examinations is of great help in improving the diagnosis and differential diagnosis of bone hydatid disease.

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Is Hydatid Cyst with Musculoskeletal Involvement a Problem that Causes Morbidity? Long-Term Follow-Up and Functional Results

Cited by 5 publications

References 20 publications

An Unusual Cause of Insidious Back and Shoulder Pain in a Man: A Case Report

An Unusual Cause of Insidious Back and Shoulder Pain in a Man: A Case Report

The Treatment of Soft Tissue Hydatidosis through an Oncological Approach: A Review of 13 Cases with an Average Follow-Up of 43 Months

Imaging Manifestations and Misdiagnosis Analysis of Six Cases of Bone Hydatid Disease

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