Intramuscular Hydatid Cyst: Report of an Unusual Case

Öz

Introduction: Hydatid disease, known since Hippocrates’ time, is still a serious trouble. Intramuscular hydatid cyst is extremely rare, at less than 1% of all locations. We describe herein a patient with an intramuscular hydatid cyst that has a very low chance of being experienced outside endemic areas by many physicians.Case Report: A 64-year-old man was admitted to our hospital with a six-month history of a painless slow-growing mass in his left hemithorax. Upon physical examination, there was a 6 × 4.5-cm, non-tender, mobile, smoothly outlined mass on the left latissimus dorsi muscle. Radiological assessments revealed two cystic pulmonary nodules in the right inferior lobe and no other organ involvement. The patient underwent a two-step surgery. Diagnosis was verified on histopathological examination. After the operation, medical treatment with albendazole (10 mg/kg/day) for three months was prescribed.Conclusion: Hydatid disease can be found in any skeletal muscle or, indeed, anywhere in the body. Due to its rarity and unusual location, diagnosis can be missed easily in a busy and crowded ER. Hydatid disease should be kept in mind in the differential diagnosis of all soft tissue lesions, even though they located in the muscle, particularly in endemic zones such as Turkey

Anahtar Kelimeler

• Intramuscular, hydatid, cyst

Kaynakça

1. Safioleas M, Nikiteas N, Stamatakos M, Safioleas C, Manti CH, Revenas C, et al. Echinococcal cyst of the subcutaneous tissue: a rare case report. Parasitol Int 2008; 57: 236-8. [CrossRef]
2. Duzgun N, Esme H, Duran F. M, Calik M, Cetin, B. Hydatid Disease of the Spine: Case Report Turkiye Klinikleri Arch Lung 2014; 15: 79-82
3. Ormeci N, Idilman R, Akyar S, Palabiyikoğlu M, Coban S, Erdem H, et al. Hydatid cysts in muscle: a modified percutaneous treatment approach. Int J Infect Dis 2007; 11: 204-8. [CrossRef]
4. Jerbi Omezzine S, Abid F, Mnif H, Hafsa C, Thabet I, Abderrazek A, et al. Primary hydatid disease of the thigh. A rare location. Orthop Traumatol Surg Res 2010; 96: 90-3. [CrossRef]
5. Parray FQ, Ahmad SZ, Sherwani AY, Chowdri NA, Wani KA. Primary para- spinal hydatid cyst: a rare presentation of Echinococcosis. Int J Surg 2010; 8: 404-6. [CrossRef]
6. Sogut O, Ozgonul A, Bitiren M, Kose R, Cece H. Primary hydatid cyst in the deltoid muscle: an unusual localization. J Infect Dis 2010; 14 Suppl 3:e347-8. [CrossRef]
7. Vecchio R, Marchese S, Ferla F, Spataro L, Intagliata E. Solitary subcuta- neous hydatid cyst: review of the literature and report of a new case in the deltoid region. Parasitol Int 2013; 62: 487-93. [CrossRef]
8. Ozgonul A, Sogut O, Cece H, Aydın S, Kürkcüoglu IC. Co-occurrence of diaphragmatic and serratus anterior muscle hydatidosis: an unusual localization. J Emerg Med 2012; 43: e219-22. [CrossRef]