Department of General Surgery, Institute of Post Graduate Medical Education & Research, Kolkata, West Bengal, India.
Department of Pathology, Institute of Post Graduate Medical Education & Research, Kolkata, West Bengal, India.
J Med Case Rep. 2024 Oct 21;18(1):484. doi: 10.1186/s13256-024-04830-7.
Hydatid disease, also known as echinococcosis, is an endemic parasitic infection, most commonly caused by Echinococcus granulosus. It may affect any organ resulting in the formation of hydatid cysts, but most frequently involves liver and lungs. Hydatid cyst arising primarily from axilla is an extremely rare manifestation of this condition, with only a few cases reported in medical literature.
Here we present the case of a 32-year-old Indian male farmer, who presented with a painless, slow-growing mass in the left axillary region of 8 months duration. Preoperative imaging led us to the diagnosis of primary axillary hydatid cyst, with no other associated cysts or masses anywhere else in the body. Following antihelmintic therapy, the cyst was surgically excised without rupture. The diagnosis was further confirmed by macroscopic and histopathological examination.
This case report highlights the importance of considering hydatid cyst in the differential diagnosis of palpable masses in the axillary region, especially in regions where the disease is endemic. Early recognition and accurate diagnosis are crucial for appropriate management and optimal patient outcomes.
包虫病，又称棘球蚴病，是一种地方性寄生虫感染，最常由细粒棘球绦虫引起。它可能影响任何器官，导致包虫囊肿的形成，但最常涉及肝脏和肺部。原发于腋窝的包虫囊肿是这种疾病的一种极其罕见的表现，在医学文献中仅报道了少数几例。
我们在此介绍一例 32 岁的印度男性农民，他因 8 个月来左腋窝无痛、缓慢生长的肿块就诊。术前影像学检查提示原发性腋窝包虫囊肿，全身其他部位无其他相关囊肿或肿块。在进行驱虫治疗后，囊肿被完整切除，未发生破裂。诊断进一步通过大体和组织病理学检查得到确认。
本病例报告强调了在腋窝可触及肿块的鉴别诊断中考虑包虫囊肿的重要性，特别是在疾病流行地区。早期识别和准确诊断对于适当的管理和最佳的患者结局至关重要。
