儿童腰大肌包虫囊肿：关于一例罕见部位的病例报告
Psoas Hydatid Cyst in Children: A Rare Localization about a Case.
作者信息
El Khassoui Amine, Aghoutane El Mouhtadi, Salama Tarik, El Fezzazi Redouane
机构信息
Traumatology and Orthopedic Pediatric Surgery Department, University Hospital of Marrakech, Marrakech, Morocco.
出版信息
Case Rep Pediatr. 2021 Nov 6;2021:1961509. doi: 10.1155/2021/1961509. eCollection 2021.
INTRODUCTION
The development of hydatid cysts in the muscle is rare, and it is even rarer in children. We report the case of a 9-year-old child treated in pediatric orthopedics department at the University Hospital of Marrakech for a hydatid cyst psoas muscle revealed by lameness.
RESULT
The child was consulted for painless and afebrile lameness of the left hip evolving since 3 months. The clinical examination finds a mass of the left flank. Investigations based on the abdominal ultrasound in first intention showed a hydatid cyst depending on the left psoas muscle. Pelvic CT and abdominal MRI were able to confirm the diagnosis and allowed a better study of the cyst neighboring elements. The drainage of the cyst followed by pericystectomy after evacuation of the vesicles contained in the cyst was done as radical treatment.
CONCLUSION
The hydatid cyst of the psoas is a rare entity in the child requiring a good radiological study of the cyst as well as its neighboring elements to propose the most adapted surgery.
引言
肌肉中包虫囊肿的发生较为罕见，在儿童中更为少见。我们报告一例9岁儿童的病例，该患儿因跛行在马拉喀什大学医院小儿骨科接受治疗，被诊断为腰大肌包虫囊肿。
结果
该患儿因左侧髋关节无痛性、无发热性跛行3个月前来就诊。临床检查发现左侧腰腹部有一肿块。初步的腹部超声检查显示一个依附于左侧腰大肌的包虫囊肿。盆腔CT和腹部MRI能够确诊，并有助于更好地研究囊肿周围的组织。在排空囊肿内的囊泡后，进行囊肿引流及囊肿切除术作为根治性治疗。
结论
儿童腰大肌包虫囊肿是一种罕见的疾病，需要对囊肿及其周围组织进行良好的影像学检查，以提出最适合的手术方案。
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