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前臂孤立性包虫囊肿:一例报告。

Solitary hydatid cyst in the forearm: A case report.

作者信息

Alatassi Raheef, Koaban Saeed, Alshayie Meshari, Almogbil Ismail

机构信息

Security Forces Hospital, Department of Orthopedic Surgery, Riyadh, Saudi Arabia.

Security Forces Hospital, Department of Orthopedic Surgery, Riyadh, Saudi Arabia.

出版信息

Int J Surg Case Rep. 2018;51:419-424. doi: 10.1016/j.ijscr.2018.09.038. Epub 2018 Sep 27.

Abstract

INTRODUCTION

Hydatid cyst is a parasitic disease caused by Echinococcus that is mostly found in the Mediterranean and Gulf States regions. Hydatid cysts usually arise in the liver and lungs but rarely occur in the forearm.

PRESENTATION OF CASE

In this report, we present a rare case of a solitary intramuscular forearm hydatid cyst in a 32-year-old woman. The cyst exhibited positive radiological findings and was treated surgically, leading to a complete resolution of the patient's symptoms with no history of recurrence.

DISCUSSION

This case was unique because although the patient presented in her fourth decade of life and lived in a Gulf country, the hydatid cyst was in a solitary and unusual location and had been present for one year. It had all positive findings in a radiological investigation without any signs of systemic illness. Additionally, the cyst was attached to the median nerve and a complete excision was performed without affecting the nerve.

CONCLUSION

By reporting this rare case of a solitary intramuscular forearm hydatid cyst, we aim to increase the awareness of unusual sites for the appearance of hydatid cysts.

摘要

引言

包虫囊肿是一种由棘球绦虫引起的寄生虫病,多见于地中海和海湾国家地区。包虫囊肿通常发生在肝脏和肺部,但很少出现在前臂。

病例介绍

在本报告中,我们呈现了一例罕见病例,一名32岁女性的前臂出现孤立性肌内包虫囊肿。该囊肿呈现出阳性影像学表现,并接受了手术治疗,患者症状完全缓解,无复发史。

讨论

该病例独特之处在于,尽管患者处于生命的第四个十年且生活在海湾国家,但包虫囊肿位于孤立且不寻常的位置,已存在一年。在影像学检查中呈现出所有阳性表现,且无任何全身疾病迹象。此外,囊肿附着于正中神经,手术进行了完整切除且未影响神经。

结论

通过报告这例罕见的前臂孤立性肌内包虫囊肿病例,我们旨在提高对包虫囊肿出现的不寻常部位的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5348/6168931/e7d2e57a4fee/gr1.jpg

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