Niakan Mohammad Hadi, Mirparsa Fatemeh, Arani Hamid Zaferani, Hooshmandi Sedighe, Peyravi Elham
Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital Shiraz University of Medical Sciences Shiraz Fars Province Iran.
Department of Health Policy, Faculty of Health, Scientific Pole of Health Sciences Education, Tehran Medical Sciences Tehran University of Medical Sciences Tehran Iran.
Clin Case Rep. 2025 Jan 21;13(1):e70124. doi: 10.1002/ccr3.70124. eCollection 2025 Jan.
Hydatid cysts, caused by the parasite, predominantly affect the liver and lungs, but can also impact other organs such as the kidneys, brain, and muscles. Infection occurs when individuals ingest eggs from contaminated food or water, leading to cyst formation primarily in the liver. While hydatid cysts are commonly found in various endemic regions, muscular involvement is rare, particularly in the psoas muscle. This report presents a case of a muscular hydatid cyst, describes its management, and emphasizes the need for awareness and prompt intervention. A 50-year-old man presented with abdominal and left lower limb pain, along with weakness over several days. He was febrile, and a physical examination revealed pain during leg movement. Routine laboratory tests were normal. Ultrasound and computed tomography scans identified a solid cystic mass in the left lower quadrant, extending to the left lumbar muscle. After 28 days of preoperative albendazole therapy, the patient underwent surgery through a Rocky Davis incision, where a large hydatid cyst containing daughter cysts in the psoas muscle was discovered. The cyst was unroofed, and its contents were evacuated, followed by irrigation with hypertonic saline. Postoperative recovery was uneventful. He also received standard medication therapy with albendazole, and during monthly visits, no complications were observed during the one-year follow-up. This case contributes to the limited literature on muscular hydatid disease and highlights the importance of awareness among healthcare providers to ensure timely diagnosis and management.
包虫囊肿由寄生虫引起，主要影响肝脏和肺，但也可能影响其他器官，如肾脏、大脑和肌肉。当个体摄入受污染食物或水中的虫卵时就会发生感染，主要在肝脏形成囊肿。虽然包虫囊肿在各个流行地区都很常见，但肌肉受累情况罕见，尤其是在腰大肌。本报告介绍了一例肌肉包虫囊肿病例，描述了其治疗过程，并强调了提高认识和及时干预的必要性。一名50岁男性出现腹部和左下肢疼痛，并伴有数天的无力感。他发热，体格检查发现腿部活动时疼痛。常规实验室检查正常。超声和计算机断层扫描显示左下腹有一个实性囊性肿块，延伸至左腰大肌。在术前使用阿苯达唑治疗28天后，患者通过Rocky Davis切口接受手术，术中发现腰大肌有一个含有子囊的大包虫囊肿。囊肿被打开，内容物被排空，随后用高渗盐水冲洗。术后恢复顺利。他还接受了阿苯达唑标准药物治疗，在每月随访期间，一年的随访中未观察到并发症。该病例丰富了关于肌肉包虫病的有限文献，并强调了医疗保健提供者提高认识以确保及时诊断和治疗的重要性。
