Ozkoç Gürkan, Akpinar Sercan, Hersekli Murat Ali, Ozalay Metin, Tandoğan Reha
Baskent University School of Medicine, Department of Orthopedics and Traumatology, Adana Medical Center, Adana, Turkey.
Arch Orthop Trauma Surg. 2003 Jul;123(6):314-6. doi: 10.1007/s00402-003-0512-1. Epub 2003 May 14.
Hydatidosis is a protozoal infestation which generally involves the liver and the lungs. Primary skeletal muscle hydatidosis without involving the thoracic and abdominal organs is extremely rare.
A 48-year-old farmer presented with a mass in the quadriceps muscle that had persisted for 10 years. Clinical and radiological investigations revealed a primary hydatid cyst of the vastus medialis of the quadriceps muscle. We did not find any visceral organ involvement. Wide excision was performed without destroying the cyst wall. Then 400 mg albendazole was given daily for 3 months postoperatively.
At the 7th postoperative month, the patient was symptom-free, and the laboratory test results were in the normal ranges.
Primary muscular hydatidosis is a rare disease and should be kept in mind in the diagnostic work-up of a cystic mass of a skeletal muscle.
包虫病是一种原虫感染，通常累及肝脏和肺脏。原发性骨骼肌包虫病且不累及胸腹部器官极为罕见。
一名48岁农民因股四头肌肿物持续10年就诊。临床及影像学检查发现股四头肌内侧头原发性包虫囊肿。未发现任何内脏器官受累。在不破坏囊肿壁的情况下进行了广泛切除。术后每日给予400mg阿苯达唑，持续3个月。
术后第7个月，患者无症状，实验室检查结果在正常范围内。
原发性肌肉包虫病是一种罕见疾病，在诊断骨骼肌囊性肿物时应予以考虑。
