Atmatzidis K, Koutelidakis I, Papaziogas B, Alexandrakis A, Chatzimavroudis G, Grigoriou M, Tsiaousis P
2nd Surgical Clinic of the Aristotle University of Thessaloniki, G Gennimatas Hospital, Greece.
Chirurgia (Bucur). 2006 Jul-Aug;101(4):419-21.
Echinococcosis of the musculoskeletal system is found in 0,5-4% of the patients suffering from hydatid disease. We describe a case of primary hydatid cyst of the posterior thigh in a 73 year-old woman, who presented with a painless mass. The diagnosis was set intraoperatively after biopsy of the cyst wall. A wide excision of the cyst with part of the attached muscles was performed. The postoperative course of the patient was uneventful. A postoperative CT-scan of the thorax and abdomen revealed no signs of other echinococcal cysts. Thus, the case was considered as a primary hydatid cyst of the thigh. The patient received adjuvant oral treatment with albendazole for six months. The patient remains in good general condition and without any signs of recurrence, one year after the operation. Hydatid disease should be considered in the differential diagnosis of any cystic mass detected in the thigh, especially if occurs in regions where the disease in endemic.
肌肉骨骼系统包虫病在患包虫病的患者中占0.5%-4%。我们描述了一例73岁女性后大腿原发性包虫囊肿病例，该患者表现为无痛性肿块。在对囊肿壁进行活检后，术中做出诊断。对囊肿及部分附着肌肉进行了广泛切除。患者术后过程平稳。术后胸部和腹部CT扫描未发现其他包虫囊肿迹象。因此，该病例被认为是大腿原发性包虫囊肿。患者接受了阿苯达唑口服辅助治疗6个月。术后一年，患者一般状况良好，无任何复发迹象。对于大腿发现的任何囊性肿块，尤其是在该病流行地区出现的肿块，在鉴别诊断时应考虑包虫病。
