Barkati Sapha, Butler-Laporte Guillaume, Ndao Momar, Kabiawu Ajise Oluyomi, Semret Makeda, Yansouni Cédric P, Libman Michael
J.D. MacLean Centre for Tropical Diseases, McGill University, Montreal, Canada.
Centre Hospitalier de l'Université de Montréal (CHUM), Montreal, Canada.
IDCases. 2017 Nov 23;11:12-15. doi: 10.1016/j.idcr.2017.11.008. eCollection 2018.
This case presents a hydatid cyst of the thigh in a 57-year-old patient born and raised in rural Montenegro. He presented with a painful erythematous mass on the lateral aspect of the right thigh at the site of a previous cystic mass resection 13 years earlier. Complete surgical resection was conducted, histopathology revealed laminated membranes and polymerase chain reaction was positive for Echinococcus granulosus. Primary musculoskeletal hydatidosis is a rare entity and diagnosis is challenging. Any cystic lesion in a patient from an endemic area should raise the possibility of echinococcosis, regardless of anatomic location. The key aspects of diagnosis, albendazole treatment and surgical management are discussed.
该病例为一名57岁男性，出生并成长于黑山农村地区，其大腿出现了一个包虫囊肿。他在右大腿外侧曾于13年前进行过囊性肿物切除术的部位出现了一个疼痛性红斑肿物。进行了完整的手术切除，组织病理学显示有层状膜，聚合酶链反应检测细粒棘球绦虫呈阳性。原发性肌肉骨骼包虫病是一种罕见疾病，诊断具有挑战性。来自流行地区患者的任何囊性病变都应提高患棘球蚴病的可能性，无论其解剖位置如何。本文讨论了诊断、阿苯达唑治疗和手术管理的关键要点。
