2003
DOI: 10.1186/1471-2474-4-25
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Primary subcutaneous cyst hydatic disease in proximal thigh: an unusual localisation: a case report

Abstract: Background: Musculoskeletal hydatidosis is very rare and represents 1% -5.4% of all cases of echinococcosis. On clinical basis, infection mimics a soft-tissue tumor, and the preoperative radiological diagnosis is very important to avoid biopsy.

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Cited by 68 publications
(90 citation statements)
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“…The clinical manifestation of the disease is a result of the localization and pressure effect of the slowly growing cyst on the infected organ. The main complaints of patients have been pain and sense of malaise [1,3,5,6]. As in our case, clinical findings and physical examination did not reveal the correct diagnosis.…”
Section: Discussionmentioning
confidence: 49%
See 1 more Smart Citation
“…The clinical manifestation of the disease is a result of the localization and pressure effect of the slowly growing cyst on the infected organ. The main complaints of patients have been pain and sense of malaise [1,3,5,6]. As in our case, clinical findings and physical examination did not reveal the correct diagnosis.…”
Section: Discussionmentioning
confidence: 49%
“…Although imaging methods usually exhibit nonspecific findings, they may be helpful for making the diagnosis. Ultrasonography, computed tomography and magnetic resonance imaging can imaging the association of the cyst with neighboring tissues, the internal laminar wall of the cyst, and intraluminal daughter cysts [1,[5][6][7]. As in our case, the diagnosis was missed in the CT scan of the neck and chest and the mass was reported as a simple cystic structure.…”
Section: Discussionmentioning
confidence: 69%
“…The sensitivity of US is 95% and if vesicular fibrils are present the sensitivity of US increases to 100% [4]. US of this case was suggestive of hydatid disease.…”
Section: Discussionmentioning
confidence: 73%
“…ELISA is 80-100% sensitive and 88-96% specific for hydatid liver disease but less sensitive for lung (50-56%) or other organ involvement (25-26%) [3]. Hydatid serology is only valuable when it is positive, negative serology does not exclude the diagnosis [4]. Serologic test (ELISA) was negative in this case.…”
Section: Discussionmentioning
confidence: 95%
“…If it is impossible to excise a large cyst en-block, the cyst has to be drained intraoperatively, irrigated with a scolecidal agent and then partially excised. Rupture of cyst wall increases the likelihood of recurrent infestation [6].…”
Section: Discussionmentioning
confidence: 99%