Calò Pietro Giorgio, Tatti Alberto, Tuveri Massimiliano, Farris Stefania, Nicolosi Angelo
Department of Surgery, University Hospital, Monserrato, Cagliari.
Chir Ital. 2007 Nov-Dec;59(6):873-6.
The muscular localisation of hydatid cyst is very uncommon. The authors report a recently observed case of hydatid cyst of the trapezius muscle. An 81-year-old man presented with a 9-months history of a slow-growing painless mass in his left shoulder associated with itching. US examination showed a large multiloculated cystic mass, strongly suspicious of a hydatid cyst. At operation, under local anesthesia, complete surgical resection of the cystic mass was performed. The patient tolerated surgery very well. The postoperative course was uneventful and the patient was discharged from hospital on postoperative day 2. No recurrence occurred after 11 months. Muscular hydatidosis is very rare and can cause a variety of diagnostic problems, especially in the absence of typical radiological findings. The possibility of hydatid disease should always be kept in mind in the differential diagnosis of muscular masses, especially in endemic areas.
包虫囊肿的肌肉部位定位非常罕见。作者报告了一例最近观察到的斜方肌包虫囊肿病例。一名81岁男性，左肩部有一个缓慢生长的无痛性肿块，伴有瘙痒，病史9个月。超声检查显示一个大的多房性囊性肿块，高度怀疑为包虫囊肿。手术时，在局部麻醉下，对囊性肿块进行了完整的手术切除。患者对手术耐受性良好。术后过程顺利，患者于术后第2天出院。11个月后未发生复发。肌肉包虫病非常罕见，可导致各种诊断问题，尤其是在缺乏典型影像学表现的情况下。在肌肉肿块的鉴别诊断中，尤其是在流行地区，应始终考虑包虫病的可能性。
