Ahmad Aya, Janoud Omran, Balouli Maram, Alnasan Abdullah, Ahmad Basel, Ahmad Mohamad
Faculty of Medicine.
General Surgery Department, Faculty of Medicine, Damascus University.
Ann Med Surg (Lond). 2024 Apr 22;86(8):4772-4775. doi: 10.1097/MS9.0000000000002086. eCollection 2024 Aug.
Hydatid cyst disease is a zoonotic disease caused by and is recognized as a significant health issue in many countries, particularly Mediterranean countries. Hydatid cysts in the musculoskeletal system are rare, with only a few reported cases. These usually occur as secondary cysts resulting from the hematogenous dissemination from primary sites.
This paper reports a case of a 77-year-old man with a mass in his thigh that had been increasing dramatically in size for 4 months with no signs of local inflammation, fever, or any other symptoms. Findings from an MRI were consistent with a large abscess, so a true-cut biopsy was taken before referral. A pathological study after surgery revealed the lesion was a hydatid cyst, and a previously performed biopsy caused a rupture of the cyst.
Misdiagnosing hydatid cysts, especially in non-usual areas, may lead to an unwelcome biopsy and consequences.
This case report highlights the importance of considering hydatid cysts when encountering any enlarging mass, regardless of its location or rate of growth.
包虫囊肿病是一种由[具体病因未给出]引起的人畜共患病,在许多国家,尤其是地中海国家,被视为一个重大的健康问题。肌肉骨骼系统中的包虫囊肿很罕见,仅有少数病例报道。这些囊肿通常是由原发部位经血行播散形成的继发性囊肿。
本文报告了一例77岁男性患者,其大腿出现一个肿物,4个月来肿物大小急剧增大,无局部炎症、发热或任何其他症状。磁共振成像(MRI)检查结果与一个大脓肿相符,因此在转诊前进行了粗针活检。手术后的病理研究显示病变为包虫囊肿,且之前进行的活检导致囊肿破裂。
误诊包虫囊肿,尤其是在非常见部位,可能会导致不必要的活检及后果。
本病例报告强调了在遇到任何增大的肿物时,无论其位置或生长速度如何,都要考虑包虫囊肿的重要性。