El Malki Hadj Omar, El Mejdoubi Yasser, Bouslami Boubker, Mohsine Raouf, Ifrine Lahcen, Belkouchi Abdelkader
Clinique chirurgicale A de l'hôpital Ibn Sina, Rabat, Maroc.
Sante. 2007 Jul-Sep;17(3):177-9. doi: 10.1684/san.2007.0064.
While hydatid cysts may occur in any area of the body, isolated muscular localizations are rare. Only some thirty-odd such cases have been reported. The authors report the case of a 38-year-old man who consulted for isolated abdominal pain in the left iliac region. Radiographic study showed a simple hydatid cyst of the left psoas muscle. The cyst was removed by extraperitoneal transverse laparotomy. Crural nerve palsy occurred but regressed after 2 months and had not recurred after 24 months. Ultrasonography is the preferred method for detecting muscular hydatid cysts. No other diagnostic tool is needed. Surgical treatment remains best. We recommend the unroofing technique over pericystectomy. Other cyst localizations must be sought before any therapeutic decision, since they determine the initial surgical management and allow consideration of other therapeutic methods to be combined with surgery.
虽然包虫囊肿可发生于身体的任何部位，但孤立性肌肉部位的包虫囊肿罕见。仅有三十余例此类病例被报道。作者报告了一名38岁男性的病例，该患者因左髂区孤立性腹痛前来就诊。影像学检查显示左腰大肌有一个单纯性包虫囊肿。通过腹膜外横切口剖腹术切除了囊肿。出现了股神经麻痹，但2个月后恢复，24个月后未复发。超声检查是检测肌肉包虫囊肿的首选方法。无需其他诊断工具。手术治疗仍然是最佳选择。我们推荐囊肿开窗术而非囊肿切除术。在做出任何治疗决定之前，必须寻找其他囊肿部位，因为它们决定了初始手术管理方式，并允许考虑将其他治疗方法与手术相结合。
