Abstract
Muscular involvement with Echinococcusgranulosus is rare, even in endemic countries where the frequency is estimated to be less than 3%, particularly in the countries of the Mediterranean basin, North Africa and Latin America. We report the rare observation of a hydatid cyst of the internal thigh room in a 57-year-old patient of rural origin and who has no notable sickness antecedents and was hospitalized in our department for the exploration of a tumefaction of the internal surface of the left thigh appeared gradually and insidiously for 3 years. Magnetic resonance imaging (MRI) showed an oval mass evoking an intramuscular hydatid cyst and its relationship to neighboring structures. He underwent surgical excision under locoregional anesthesia. Solitary hydatid localization in muscle tissue is exceptional, but it is useful to know that its diagnosis is often delayed, its treatment is surgical, but recurrences are possible.
Highlights
Muscular involvement with Echinococcusgranulosus is rare, even in endemic countries where it is estimated to be less than 3%, in the countries of the Mediterranean basin, North Africa and Latin America [1]
We report the rare observation of a hydatid cyst isolated from the inner thigh loge in a 57 years old subject living in the rural environment and we discuss the epidemiological aspects, the diagnostic difficulties and the therapeutic modalities of this pathology
A 57-year-old rural patient with no notable antecedents had been hospitalized in our department to investigate a tumefaction of the internal face of the left thigh that had appeared progressively and insidiously for 3 years
Summary
Muscular involvement with Echinococcusgranulosus is rare, even in endemic countries where it is estimated to be less than 3%, in the countries of the Mediterranean basin, North Africa and Latin America [1]. The. Arch Clin Med Case Rep 2018; 2 (6): 221-226 primary and isolated muscular localization of a hydatid cyst (KH) is exceptional [2]. Most cysts (60%) develop in the liver; The other development sites are the lung (20%) and less frequently the spleen, heart, kidney, central nervous system, and the bone [3]. We report the rare observation of a hydatid cyst isolated from the inner thigh loge in a 57 years old subject living in the rural environment and we discuss the epidemiological aspects, the diagnostic difficulties and the therapeutic modalities of this pathology
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