Goel Somya, Shinde Raju K, Nagtode Tushar, Vaidya Khushbu, Jivani Ashish
General Surgery, Jawaharlal Nehru Medical College, Wardha, IND.
Cureus. 2024 Dec 23;16(12):e76243. doi: 10.7759/cureus.76243. eCollection 2024 Dec.
Hydatidosis is an infection caused by the helminth . The liver and lungs are the most frequently affected organs, primarily due to their roles in filtering blood. Primary hydatidosis of the skeletal muscles is an exceedingly rare condition, often asymptomatic, which can lead to its misdiagnosis as a more common soft tissue tumour. This case report presents a case of primary hydatidosis localized in the vastus medialis muscle of the thigh in a man in his early 70s. The patient exhibited a chronic swelling in his right thigh that persisted for four years, gradually increasing in size and associated with pain. Diagnostic challenges arose due to the atypical site of the cyst, but ultrasound and MRI ultimately confirmed the presence of a hydatid cyst. Thus, it highlights the importance of maintaining a high index of suspicion for hydatidosis, particularly in regions with high endemicity, like India, where early recognition and accurate diagnosis are vital for effective management.
包虫病是一种由蠕虫引起的感染。肝脏和肺是最常受影响的器官，主要是因为它们在过滤血液中的作用。骨骼肌原发性包虫病极为罕见，通常无症状，这可能导致其被误诊为更常见的软组织肿瘤。本病例报告介绍了一名70岁出头男性，其原发性包虫病局限于大腿股内侧肌。患者右大腿出现慢性肿胀，持续四年，大小逐渐增大并伴有疼痛。由于囊肿位置不典型，诊断面临挑战，但超声和磁共振成像最终证实了包虫囊肿的存在。因此，它凸显了对包虫病保持高度怀疑的重要性，特别是在像印度这样高流行地区，早期识别和准确诊断对有效管理至关重要。
