Mughal Ayesha, Minhas Muhammad Saeed, Bhatti Anisuddin, Moghul Farooq Ahmed, Sangani Muhammad Muzzammil, Khan Kashif Mehmood, Alam Afaq, Kumar Mukesh, Mughal Amna
Department of Orthopedics, Jinnah Postgraduate Medical Centre (JPMC), Karachi.
Department of Anatomy, Ghulam Muhammad Mahar Medical College (GMMMC), Sukkur.
J Coll Physicians Surg Pak. 2018 Mar;28(3):S51-S53. doi: 10.29271/jcpsp.2018.03.S51.
Hydatid disease is helminthic infection caused by tape worm echinococcus granulosis. It commonly involves liver (65-75%) and the lungs (25 to 30%). Involvement of bones and skeletal muscle is very rare, i.e. 3 to 5%. This is the report of a 21-year girl, city resident, presented with mass involving left proximal thigh. The mass was painless and had gradually increased in size over three years. MRI revealed solid cum cystic lesion in vastus medialis muscle. Tru-Cut needle biopsy of the lesion revealed necrotic material. Intraoperative findings were of different sized cystic lesions, typical of hydatid cyst. The cysts were removed intact. No recurrence was seen in 11-month follow-up. Hydatid cyst involving skeletal muscle is very rare entity, but should be considered while making differential diagnosis of soft tissue mass.
包虫病是由细粒棘球绦虫引起的蠕虫感染。它通常累及肝脏(65 - 75%)和肺部(25%至30%)。骨骼和骨骼肌受累非常罕见,即3%至5%。本文报告一名21岁城市居民女性,其左大腿近端出现肿块。该肿块无痛,三年来逐渐增大。磁共振成像(MRI)显示股内侧肌有实性及囊性病变。对该病变进行粗针穿刺活检显示为坏死物质。术中发现不同大小的囊性病变,典型的包虫囊肿。完整切除囊肿。11个月的随访中未见复发。累及骨骼肌的包虫囊肿是非常罕见的情况,但在对软组织肿块进行鉴别诊断时应予以考虑。