Latino R, Costa S, Barbagallo E, Virzì A, Vagnoni G
Dipartimento di Chirurgia, Università degli Studi di Catania.
Ann Ital Chir. 1999 Jan-Feb;70(1):123-6; discussion 126-7.
A case of primary hydatidosis of major muscle dorsal is reported. Hydatid cyst, though known to occur in many areas of the body, is rare in skeletal muscle. Echinococcosis of muscle is caused by the larval stage of Echinococcus granulosus or, rarely, by the more aggressive Echinococcus multilocularis. Although Echinococcus is the most common cause of liver cyst, hydatidosis of muscle appears to be uncommon, as muscle is involved in only 3% of echinococcal infection. We report a case of a 65 year old woman, of rural origin, with an infestation of the major muscle dorsal. We discuss the serologic and instrumental diagnosis, methods and the hypothesis of a primary muscular localization and surgical and clinical management of these atypical lesion. This authors recommend total pericystectomy Postoperative results were satisfying: no recurrence but one was found at follow up.
报告一例主要累及背部肌肉的原发性包虫病。包虫囊肿虽已知可发生于身体多个部位,但在骨骼肌中较为罕见。肌肉棘球蚴病由细粒棘球绦虫的幼虫阶段引起,或极少情况下由更具侵袭性的多房棘球绦虫引起。虽然棘球绦虫是肝囊肿最常见的病因,但肌肉包虫病似乎并不常见,因为仅3%的棘球绦虫感染累及肌肉。我们报告一例65岁农村女性,其背部主要肌肉受到感染。我们讨论了血清学和影像学诊断、原发性肌肉定位的方法和假说,以及这些非典型病变的手术和临床处理。作者推荐进行完整的囊肿切除术。术后结果令人满意:无复发,但随访中发现有一例复发。