Primary Hydatidosis Within Biceps Brachii: Case Report

Abstract

406 chinococcosis (hydatid disease) is caused by Echinococcus granulosus, a small tapeworm parasite in dogs and wolves, and occasionally in cats. It occurs endemically in many regions worldwide including the Mediterranean countries. 1 The main host and source of infection for humans is the dog. It acquires the infection through ingestion of infected cystic organs of another affected animal. The feces of an infected animal contain a large number of eggs, which the dog transfers to its muzzle, tongue, and fur by licking its anal region. The humans get the infection from unwashed hands after having touched the dog that had swallowed the tapeworm eggs.Primary Hydatidosis Within Biceps Brachii: Case Report A AB BS S T TR RA AC CT T Pri mary hyda tid di se a se in the musc le is very ra re. Usu ally, in tra mus cu lar hyda tid cysts are se con dary, re sul ting eit her from the spre ad of cysts spon ta ne o usly or af ter surgery. We report an unu su al ca se of pri mary hyda ti do sis wit hin bi ceps brac hi i musc le. It was di ag no sed on the basis of the com pu ted to mog raphy ap pe a ran ce, cli ni cal and pat ho lo gi cal fin dings. Un der ge ne ral anest he si a we ca re fully tri ed to iso la te the cyst from the sur ro un ding musc les. However, the mass was ruptured inadvertantly. Fol lo wing ir ri ga ti on of cystic ca vity with hyper to nic sa li ne so lu ti on, the cyst wall was ex ci sed. The re is no re cur ren ce in the postoperative second year. In ge og rap hic re gi ons whe re hyda ti do sis is en de mic, hyda tid cyst sho uld be inc lu ded in the dif fe ren ti al di ag no sis of a cystic mass in the musc le to avo id fi ne-ne ed le bi opsy and it must be ca re fully dissected from the sur ro un ding musc les. The rupture of the cyst may not only result in recurrence and dissemination, but may also cause anaphylaxis and its surgical resection is difficult. K Ke ey y W Wo or rd ds s: : Musc les; rup tu re; ec hi no coc co sis Ö ÖZ ZE ET T Kas ta pri mer kist hi da tik çok na dir gö rül mek te dir. Ge nel lik le ya ope ras yon son ra sı ya da kistin spon tan ola rak ya yıl ma si ile kas için de se kon der ola rak bu lun mak ta dır. Bi ceps brac hi i ka sı için -de bir pri mer kist hi da tik va ka sı tes pit edil di. Kom pü te ri ze to mog ra fi, kli nik ve pa to lo jik bul gu lar ile ta nı ko nul du. Ge nel anes te zi al tın da kist, dik kat li ce kas tan izo le edil me ye ça lı şıl dı; fa kat is te meye rek rüp tür oluş tu. Kist ka vi te si hi per to nik tuz lu so lüs yon ile yı kan dı ve kist du va rı çı ka rıl dı. Kist çı ka rıl dık tan son ra 2 yıl için de tek rar la ma gö rül me di. Kist hi da ti ğin en de mik ol du ğu böl ge ler de, kas ta ki bir kis tik kit le nin ayı rı cı ta nı sı ya pı lır ken in ce-iğ ne bi yop si sin den ka çı nıl ma lı ve çev re leyen kas do ku sun dan kist dik kat li ce izo le edil me li dir. Cer ra hi re zek si yo nun zor lu ğun dan, ya yıl ma ve tek rar la ma dan do la yı kist rüp tü rü anaf lak si ye ne den ola bi li ce ği dik ka te alın ma lı dır. Mehmet Cengiz ÇOL...

Infected Primary Muscular Hydatid Disease at Posterior Cruris, A Very Rare Localization: Case Report

“…3,5 Surgery is the best treatment method accepted for the treatment of muscular hydatidosis. 12,13 Albendazole is also used before and after surgery for prevention of recurrence. 3,4 Finally, muscular hydatid disease is a rare disease that is mostly treated with combined chemotherapy and surgery.…”

“…For primary muscular hydatidosis, chest wall, sartorius, pectoralis major, quadriceps, supraspinatus, biceps brachii and gluteal muscles are some of the reported sites. [11][12][13] Case reports usually presented primary muscular hydatidosis determined in the gluteal and thigh muscles. It is difficult to characterize the typical presentation of soft tissue hydatidosis.…”