Meena Satya P, Raj Ratan, Puranik Ashok, Kompally Prathyusha V
Department of General Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
J Family Med Prim Care. 2020 Sep 30;9(9):5055-5057. doi: 10.4103/jfmpc.jfmpc_899_20. eCollection 2020 Sep.
The primary hydatid disease in musculoskeletal position is not common, but maybe present in endemic areas. The human being is always an accidental host. We reported a 30 years adult male patient with trapezius muscle primary hydatidosis. He admitted with a complaint of large swelling right upper back for 2 years. The clinical diagnosis was a lipoma, but ultrasound suggested cystic changes in soft tissue tumor or lipoma and FNAC was inconclusive. Finally, the MRI report revealed hydatid cyst disease and diagnosis become clear with intraoperative findings as well as histopathology reports. We are reporting this case to show the very rare location of primary echinococcal cyst in trapezius muscle and challenging approach to diagnose this case with basic investigation.
肌肉骨骼部位的原发性包虫病并不常见，但在流行地区可能存在。人类始终是偶然宿主。我们报告了一名30岁成年男性患者，患有斜方肌原发性包虫病。他因右上背部巨大肿胀2年入院。临床诊断为脂肪瘤，但超声提示软组织肿瘤或脂肪瘤有囊性改变，细针穿刺抽吸活检结果不明确。最后，磁共振成像报告显示为包虫囊肿病，术中发现及组织病理学报告使诊断明确。我们报告此病例是为了展示原发性棘球蚴囊肿在斜方肌中非常罕见的部位，以及通过基础检查诊断该病例的挑战性。
