Hamid Hammoud, Aasi Muataz, Yousef Ahmad, Alarsan Mohammed, Ghanem Muhammad, Mohaisen Mais Alreem Basel, Sibai Mohamad
Department of General Surgery, Faculty of Medicine, Damascus University, Al-Rashid Hospital, Damascus, Syrian Arab Republic.
Department of General Surgery, Faculty of Medicine, Homs University, Al-Rashid Hospital, Damascus, Syrian Arab Republic.
J Surg Case Rep. 2025 Sep 9;2025(9):rjaf699. doi: 10.1093/jscr/rjaf699. eCollection 2025 Sep.
Cervical hydatid cysts are extremely rare manifestations of , typically occurring in the liver or lungs. Their atypical appearance presents difficulties in diagnosis and may divert physicians from considering parasite causes. We report the case of a 13-year-old female who exhibited a painful occipitocervical mass; she came from an endemic area. Imaging revealed a clearly defined cystic lesion; no hepatic or pulmonary involvement was observed. The cyst was surgically removed without any complications. Postoperative albendazole medication was delivered for 4 months, resulting in no adverse hepatic effects and no recurrence during the follow-up period. This case highlights the diagnostic significance of early multimodal imaging (ultrasound and computed tomography/magnetic resonance imaging) for evaluating atypical masses in the neck. Primary cervical hydatid cysts in endemic regions must be considered in the differential diagnosis of cystic neck diseases.
颈部包虫囊肿是极其罕见的表现,通常发生在肝脏或肺部。其非典型外观给诊断带来困难,可能使医生忽略寄生虫病因。我们报告一例13岁女性病例,她表现为枕颈部疼痛性肿块;她来自流行地区。影像学检查显示一个边界清晰的囊性病变;未观察到肝脏或肺部受累。囊肿经手术切除,无任何并发症。术后给予阿苯达唑药物治疗4个月,未出现肝脏不良反应,随访期间无复发。该病例强调了早期多模态成像(超声和计算机断层扫描/磁共振成像)对评估颈部非典型肿块的诊断意义。在地方性流行地区,颈部原发性包虫囊肿必须纳入颈部囊性疾病的鉴别诊断中。