Kocakusak A, Koyuncu A, Arikan S, Senturk O
Haseki Education and Research Hospital, General Surgery Clinic, Istanbul, Turkey.
Acta Chir Belg. 2004 Aug;104(4):471-2.
Musculoskeletal system is rarely involved by hydatid cyst,the larval form of Echinococcus Granulosus. A 37-year old man was diagnosed as having a cystic mass within his left thigh musculature. Preoperative computerized tomography suggested an unusual location of echinococcus although serology could not confirm the diagnosis. During surgery, a white coloured cyst within left vastus lateralis muscle was enucleated. Pathological examination after removal of the mass revealed hydatid cyst of vastus lateralis muscle. This case emphasizes that hydatidosis should be included in differential diagnosis of any soft tissue mass especially in regions where it is endemic.
肌肉骨骼系统很少被细粒棘球绦虫的幼虫形式——包虫囊肿累及。一名37岁男性被诊断为左大腿肌肉组织内有一个囊性肿块。术前计算机断层扫描提示包虫的位置不寻常,尽管血清学检查未能确诊。手术中,从左股外侧肌中摘除了一个白色囊肿。肿块切除后的病理检查显示为股外侧肌包虫囊肿。该病例强调,在任何软组织肿块的鉴别诊断中都应考虑包虫病,尤其是在该病流行的地区。