Primary hydatid disease of the thigh. A rare location

Omezzine, S. Jerbi; Abid, Fatma Ben; Mnif, H.; Hafsa, C.; Thabet, I.; Abid, A.; Sassi, Nizar; Hamza, H.A.

doi:10.1016/j.otsr.2009.10.016

Cited by 14 publications

(15 citation statements)

References 8 publications

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“…In fact, <30% of serologies were positive in a cohort of patients with musculoskeletal echinococcosis of echinococcosis of liver while for musculoskeletal hydatosis they were positive in only 26% -28% of case [7]. Pericystectomy constitutes the best surgical approach for the treatment of muscular HC in cases of small superficial cysts or cysts not adhering to vascular nerve [8] [9].…”

Section: Discussionmentioning

confidence: 99%

“…3) The cyst was ruptured during its intramuscular dissection and in spite of that, she passed well without intra or post-operative early or late complications. Use of preoperative hypertonic 10% saline solution is mandatory to Open Access Library Journal prevent the dissemination of protoscoleces [8] [9].…”

Section: Discussionmentioning

confidence: 99%

“…To prevent postoperative recurrence of the cyst adjuvant chemotherapy in the form of albendazole (15 mg/kg/day) in preoperative and postoperative time is recommended by many authors but some authors recommend the use of albendazole (400 mg/day) in peri-or postoperative treatment [8]. Others claim that medical treatment has little place in muscular HC management and that its use should be limited, possibly associated with praziquantel, to complicated cases [8] [9] [10]. For our patients, we decided to use albendazole for 10 days preoperatively and for 3 months postoperatively.…”

Section: Discussionmentioning

confidence: 99%

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Diagnostic and Curative Approach for Hydatid Cyst of Thigh

Al-Katta¹,

Alqatta²

2019

OALib

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Introduction: Hydatid disease is a parasitic disease caused by Echinococcus species, and is a serious sometimes fatal, that is endemic in many parts of the world, especially in South America, the Middle East including Yemen, Australia, and the mediteranean region. Hydatid disease of the skeletal muscle is rare. Presentation of Case: This article presents an unusual three Yemeni cases of subcutaneous and intramuscular hydatid cyst of the thigh. The ages of one male and two women are 32, 38 and 27 years respectively. They admit to IBN Sina hospital complain of dull aching pain, but no fever or other symptoms indicating infection or metastatic neoplastic soft tissue mass, lipoma or cystic swelling for differential diagnosis. Clinical manifestation was nonspecific and the diagnosis mainly depends on radiological evaluation which included mainly CT, MRI and laboratory investigation which is mainly ELISA test for Echinococcus granulosus Ab. After the patient admitted to the hospital, preoperative albenazole for ten days to treat patient, and surgical excision procedure pericystectomy were performed for the cyst combined with postoperative albendazole. In our 3 cases, this surgical approach was performed to extract the hydatic cyst completely intact without rupture and was achieved in 2 cases, while rupture occur in one case (case No. 3). The cyst was ruptured during intramuscular dissection. In spite of that, she passed well without intra or post-operative early or late complications. Use of intra-operative hypertonic 10% saline solution is mandatory to prevent the dissemination of protoscoleces. Chemotherapy enabled the authors to treat the patient with preoperative albenazole for ten days and to prevent postoperative recurrence of the disease. Discussion: The diagnosis of echinococcosis should be considered when soft tissue mass grows slowly for months or years, in any patient from the endemic area. Patients presented with this rare hydatic cyst diseses in subcutaneous and intramuscular space of the thigh,

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Diagnostic and Curative Approach for Hydatid Cyst of Thigh

Al-Katta¹,

Alqatta²

2019

OALib

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“…It has been suggested that muscles provide an unsuitable environment for the parasite, because of the presence of lactic acid (4,5). The cysts appear as slow-growing masses of soft tissue, and signs of inflammation and fistulization often coexist (2,5). We report a rare case of an hydatid cyst located in the vastus lateralis muscle of a 41-year-old man.…”

Section: Introductionmentioning

confidence: 92%

“…In the context of musculoskeletal involvement, the spine is the most commonly infected site, while the muscles are rarely infected and account for approximately <1% of cases. It has been suggested that muscles provide an unsuitable environment for the parasite, because of the presence of lactic acid (4,5). The cysts appear as slow-growing masses of soft tissue, and signs of inflammation and fistulization often coexist (2,5).…”

Section: Introductionmentioning

confidence: 99%

Hydatid cyst in the vastus lateralis muscle: a case report

Muratori

Gori

D’Arienzo

et al. 2017

ccmbm

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SummaryHydatidosis is a zoonotic disease; human infection occurs through the consumption of food and water contaminated with the eggs of parasites of the Echinococcus type. While the liver is the most common site of infection, involvement of the musculoskeletal system is extremely rare. In the context of musculoskeletal involvement, the spine is the most commonly infected site, while the muscles are rarely infected and account for approximately <1% of cases. It has been suggested that muscles provide an unsuitable environment for the parasite, because of the presence of lactic acid. The cysts appear as slow-growing masses of soft tissue, and signs of inflammation and fistulization often coexist. We report a rare case of an hydatid cyst located in the vastus lateralis muscle of a 41-year-old man. Muscular echinococcosis is an extremely rare disease. A MRI evaluation should be taken into account as gold standard in the diagnosis. Surgical cystectomy is often indicated, and an excision with wide margins is mandatory to avoid the rupture of the cyst and anaphylaxis. Adjuvant pharmacological therapy is recommended to minimize the risk of recurrence.

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