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大腿原发性包虫病。罕见部位。

Primary hydatid disease of the thigh. A rare location.

机构信息

Service d'imagerie médicale, CHU Tahar Sfar, 5100 Mahdia, Tunisie.

出版信息

Orthop Traumatol Surg Res. 2010 Feb;96(1):90-3. doi: 10.1016/j.rcot.2009.12.007.

Abstract

Primary muscle hydatidosis is very rare, accounting for less than 1% of hydatid cyst locations. Clinical symptoms are insidious and non-specific causing a frequent delay in diagnosis. Intramuscular hydatid disease can cause a variety of diagnostic problems, especially in the absence of typical radiologic findings. We report the observation of an 82-year-old man consulting for inguinal tumefaction with radiological exploration suggestive of hydatid cyst of the adductors muscles. Magnetic resonance imaging (MRI) is helpful in diagnosis, since it reveals a very suggestive aspect and demonstrates the relationship between cysts and adjacent structures. Treatment of muscle echinococcosis is based on surgery, which is curative and incurs a low risk of local relapse.

摘要

原发性肌肉包虫病非常罕见,占包虫囊肿位置的比例不到 1%。临床症状隐匿且非特异性,导致经常延迟诊断。肌肉内包虫病可引起多种诊断问题,尤其是在缺乏典型影像学发现的情况下。我们报告了一例 82 岁男性的观察结果,该患者因腹股沟肿胀就诊,影像学检查提示内收肌包虫囊肿。磁共振成像(MRI)有助于诊断,因为它显示出非常提示性的特征,并显示囊肿与邻近结构之间的关系。肌肉包虫病的治疗基于手术,手术具有根治性且局部复发风险低。

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