Costea Radu Virgil, Mohsen Hasuna, Rusu Octavia Cristina, Chirca Alexandru, Neagu Stefan Ilie
"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Second Department of General Surgery, Emergency University Hospital, Bucharest, Romania.
Maedica (Bucur). 2016 Mar;11(1):76-79.
Hydatid disease is caused by an infestation with the tapeworm Echinococcus. Each parasite can produce thousands of eggs with oncospheres that can migrate to the liver or lungs and rarely to other sites, including muscles. The aim of this case study is to describe a rare case of a patient with an atipical hydatid cyst location and to raise awareness of this condition. We present the case of a 28-year-old female patient admitted in our clinic with a lump in her right calf who underwent surgical excision, hydatid cyst being suspected due to the aspect of the thin cyst wall membrane, confirmed by hystopathological examination. The post-operative course was uneventful and the patient was discharged five days later with medical treatment with albendazole. In conclusion, hydatid disease must be kept in mind as a differential diagnosis when facing a muscle cystic mass, even though it is very rare, and a good medical and surgical management may determine a permanent cure.
包虫病是由棘球绦虫感染引起的。每个寄生虫可产生数千个带有六钩蚴的虫卵,这些虫卵可迁移至肝脏或肺部,很少迁移至包括肌肉在内的其他部位。本病例研究的目的是描述一例罕见的非典型包虫囊肿部位的患者,并提高对这种疾病的认识。我们报告一例28岁女性患者,因右小腿肿块入住我院,接受了手术切除。由于囊肿壁膜较薄,怀疑为包虫囊肿,经组织病理学检查确诊。术后过程顺利,患者五天后出院,并接受阿苯达唑药物治疗。总之,面对肌肉囊性肿块时,即使包虫病非常罕见,也必须将其作为鉴别诊断加以考虑,良好的药物和手术治疗可能会实现根治。