Subcutaneous hydatid cysts occurring in the palm and the thigh: two case reports

Abstract

Introduction: Hydatid cyst disease is common in some regions of the world and is usually located in the liver and lungs. This report presents two cases of primary hydatid cysts located subcutaneously: one in the medial thigh and one in the left palm between the index and middle fingers.

Effect of Triclabendazole and Levamisole on Experimental Hydatic Cyst in Rat

“…The disease still continues to be a serious problem in countries like Australia, New Zealand, Middle East, Africa, India, South America, Turkey and Southern Europe (Arora et al, 2006). Various soft tissue sites involved by hydatid cysts and reported in literature include those of muscles and subcutaneous tissue (neck, chest, axilla, abdomen, thigh and palm) (Dirican et al, 2008;Bedioui et al, 2007).…”

Unusual Location of Primary Hydatid Cyst: Soft Tissue Mass in the Supraclavicular Region of the Neck

“…Hydatid serology is only valuable when it is positive, negative serologic test does not exclude the diagnosis. We performed hemagglutination test and ELISA test in our patient and the result was negative [1,2,4,[7][8][9][10].…”

“…If the cyst cannot be excised without opening, the fluid contents should be removed, the laminated membrane should be totally excised, and the cyst pouch should be irrigated with protoscolicidal solutions [2,4,7,8,11]. Subcutaneous located cysts are more prone to rupture since they have not been diagnosed pre operatively.…”

“…The parasite is named Echinococcus granulosus and humans can be an incidental intermediary host in the life cycle of the parasite. Although cysts are most commonly located in the liver (50-650%) and the lungs (20-30%), multi-organ involvement is seen in 20-30% of cases [1][2][3][4]. The musculoskeletal involvement has been registered in only 1-5 % [3,4].…”

“…It has been hypothesized that the presence of lactic acid in the muscle does not allow the larvae to grow into cysts. Soft -tissue hydatid cysts occur in 2-3% of cases reported from endemic areas [1][2][3].…”