Hydatid cysts in muscles: clinical manifestations, diagnosis, and management of this atypical presentation

Abstract

Introduction: Hydatid cysts are rarely detected in muscle tissue (0.7-0.9%), even in endemic countries. The aim of this study was to present information regarding the clinical manifestations, diagnosis, and management of muscle echinococcosis. Methods: Twenty-two patients with hydatid cysts in the muscle were followed from January 2006 through December 2014. Results: Twenty-four sites of muscle involvement were observed in the 22 patients. Fifteen (68%) of our patients were women, while seven (32%) were men. The mean age was 28.1 ± 15.4 (6-61) years. The most frequent locations were the thigh (27.2%) and the paravertebral region (13.6%). Most patients reported a painless slow-growing mass with normal overlying skin. Most (90.2%) cases were treated by surgical excision and fi ne-needle aspiration. Conclusions: Primary muscle hydatid cyst should be considered in the differential diagnosis in cystic masses of the muscular system without pain and localized enlargement of soft tissue, especially in endemic areas. Hydatid cyst should be investigated using serological tests and imaging modalities. If possible, total surgical excision of hydatid cyst in the muscle should be performed.

Traumatic rupture of liver hydatid cysts into the peritoneal cavity of an 11-year-old boy: a case report from Iran

“…Hydatidosis is an endemic disease found in many sheep-and cattle-rearing countries such as Iran. The liver and the lungs are the most common organs where hydatid disease is seen [6][7][8][9] .…”

Hidatidosis vesical y retrovesical: reporte de caso

“…Así mismo la ubicación retrovesical del quiste hidatídico es también muy rara presentándose solo entre 0,1 a 0,5% de los casos de hidatidosis [10] . Esta ubicación del quiste hidatídico puede provocar síntomas urinarios bajos como los presentados en el paciente [11] .…”

Giant Hydatid Cysts of the Lung and Liver

“…The most common sites of lodgment of E. granulosus are the liver and lung 1 . It is very rare for both pulmonary hydatid cyst and liver hydatid cyst to exist in large sizes 2,3 . The diagnosis of hydatid disease should be considered in patients with giant cysts in the lungs and liver.…”