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原发性腰大肌包虫囊肿:一例罕见病理的病例报告

Primary Psoas Muscle Hydatid Cyst: A Case Report of a Rare Pathology.

作者信息

Ramtohul Rahul K, Alazazzi Hosam, Ullah Muneeb, Qureshi Amal N, O'Connor Colin T, Algahiny Ahmed, Aquilini Parisa, Sajwani Hussain, Ganeshanath Akashnath K

机构信息

General Surgery, Beaumont Hospital, Dublin, IRL.

General surgery, Wrightington, Wigan and Leigh NHS Foundation Trust, Wigan, GBR.

出版信息

Cureus. 2025 Jan 2;17(1):e76826. doi: 10.7759/cureus.76826. eCollection 2025 Jan.

Abstract

While hydatid cysts typically involve the hepatic system, extra-hepatic manifestations have rarely been reported. Of these cases, psoas muscle involvement remains exceedingly rare. Hydatid cyst in unusual locations is often found incidentally. In addition to surgery, which is the primary treatment for hydatid illness, anti-parasitic drugs known as benzimidazoles should also be used to treat hydatid cysts. The numerous sites and possible problems must be known to the treating surgeons. Pre-operative radiography is essential because it aids in the detection of the cyst, allows for its assessment as a differential diagnosis, and defines the treatment plan to prevent fatal outcomes. We describe an interesting case of a psoas hydatid cyst with an esoteric surgical approach.

摘要

虽然包虫囊肿通常累及肝脏系统,但肝外表现很少有报道。在这些病例中,腰大肌受累极为罕见。不常见部位的包虫囊肿常为偶然发现。除手术作为包虫病的主要治疗方法外,还应使用称为苯并咪唑的抗寄生虫药物来治疗包虫囊肿。治疗外科医生必须了解众多的发病部位和可能出现的问题。术前影像学检查至关重要,因为它有助于囊肿的检测,有助于进行鉴别诊断评估,并确定治疗方案以防止出现致命后果。我们描述了一例采用独特手术方法治疗的腰大肌包虫囊肿的有趣病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65ba/11787950/b23321d6d501/cureus-0017-00000076826-i01.jpg

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