Jain Manesh Kumar, Kamath Surendra Umesh, Lobo Flora
Department of Orthopaedics, Kasturba Medical College, Mangalore. Manipal Academy Of Higher Education, Manipal, Karnataka, India.
Department of Pathology, Kasturba Medical College, Mangalore. Manipal Academy Of Higher Education Manipal, Karnataka, India.
J Orthop Case Rep. 2018 May-Jun;8(3):89-91. doi: 10.13107/jocr.2250-0685.1126.
Cysticercosis is more commonly seen in developing countries like India caused by larval stage of Taenia solium. Neurocysticercosis is more commonly seen than isolated muscle involvement. There are very few sporadic cases of isolated biceps muscle involvement, but most of them are managed medically. We are reporting an isolated case of cysticercosis of biceps muscle managed surgically.
A 32-year-old male, security personnel by occupation, comes with complaints of painful swelling of the right arm for past 1 week. There was no trauma to the limb and no similar swellings elsewhere in the body. On examination, there was an anteromedial tender swelling of mid-third of arm. X-ray was normal with soft tissue shadow on the anterior aspect. Ultrasound showed cystic lesion with central hyperechoic lesion. Magnetic resonance imaging of arm showed 7.7 mm × 4.8 mm lesion in anteromedial aspect of arm with surrounding edema s/o granuloma. The patient underwent excision of the cyst and biopsy was suggestive of cysticercosis and surrounding granuloma.
Isolated cysticercosis of muscle is very rare, but when it is symptomatic and hindering in daily activities, surgical excision can be done for faster relief and early return to normal day-to-day activities.
囊尾蚴病在印度等发展中国家更为常见,由猪带绦虫的幼虫阶段引起。神经囊尾蚴病比单纯的肌肉受累更为常见。孤立性肱二头肌受累的散发病例非常少,但大多数通过药物治疗。我们报告一例通过手术治疗的孤立性肱二头肌囊尾蚴病病例。
一名32岁男性,职业为保安,因右臂疼痛肿胀1周前来就诊。该肢体无外伤史,身体其他部位也无类似肿胀。检查发现,手臂中上部前内侧有压痛性肿胀。X线检查正常,仅前侧有软组织阴影。超声显示有囊性病变,中央有高回声病变。手臂磁共振成像显示,手臂前内侧有一个7.7毫米×4.8毫米的病变,周围有水肿,提示肉芽肿。患者接受了囊肿切除术,活检结果提示为囊尾蚴病及周围肉芽肿。
孤立性肌肉囊尾蚴病非常罕见,但当出现症状并妨碍日常活动时,可进行手术切除,以更快缓解症状并早日恢复正常日常活动。