Primary Hydatid Cyst of the Thigh – A Case Report
Issue: 2023 - Volume 6 [Issue 2]
S. N. Jatal *
Jatal Hospital and Research Centre, Latur, India.
Jatal Hospital and Research Centre, Latur, Tata Hospital, Mumbai, India.
Department of Pathology, MIMSR Medical College, Latur, India.
*Author to whom correspondence should be addressed.
Hydatid cyst is caused by the dog tapeworm echinococcus granulosus. Hydatid cysts are most frequently found in the liver (75%) and lungs (15%) and 10% occur in any part of the human body. Primary muscular hydatidosis is very rare and occurs in 1-4% in of all hydatidosis. The localizations of hydatid cyst in muscles is rare 0.7-0.9% even in endemic countries. Muscular hydatidosis is rare, because of muscle lactic acid content and muscle contraction, there two factors that likely prevent cyst growth in striated muscles.
Muscle hydatid disease most often manifests as a slow growing soft-tissue tumour and mostly present with a painless growing mass. However, the cyst is clinically asymptomatic and diagnosed incidentally. The most common skeletal muscle sites include the hip and thigh and the shoulder and humours regions.
We report a rare case of primary hydatid cyst of the right thigh in a 32 years’ male patient, with asymptomatic thigh mass and diagnosed on ultrasonography. We performed total surgical excision of the mass with pericystectomy, and Albendazole therapy was given preoperative and postoperatively.
Keywords: Echinococcus granulosus, hydatid cyst, skeletal muscles
How to Cite
Argy N, Abou Bacar A, Boeri C, Lohmann C, Pfaff AW, Hansmann Y, Christmann D, Candolfi E, Lefebvre N. Primary musculoskeletal hydatid cyst of the thigh: Diagnostic and curative challenge for an unusual localization. Can J Infect Dis Med Microbiol. 2013 Fall;24(3):e99-e101. DOI: 10.1155/2013/829471
PMID: 24421841; PMCID: PMC3852467.
Gougoulias NE, Varitimidis SE, Bargiotas KA, Dovas TN, Karydakis G, Dailiana ZH. Skeletal muscle hydatid cysts presenting as soft tissue masses. Hippokratia. 2010 Apr;14(2):126-30.
PMID: 20596270; PMCID: PMC2895288.
Recep Tekin, Alper Avci, Rojbin Ceylan Tekin, Mehmet Gem and Remzi Cevik, Hydatid cysts in muscles: clinical manifestations, diagnosis, and management of this atypical presentation, Revista da Sociedade Brasileira de Medicina Tropical. 2015;48(5):594-598. Sep-Oct Available:http://dx.doi.org/10.1590/0037-8682-0197-2015
Soltany S, Hemmati HR, Toussy JA, Nazifi H, Alibakhshi A, Toosi PA. Evaluation of Musculoskeletal Hydatid Cyst Cases in Terms of Clinical Manifestations, Method of Dealing, Treatment, and Recurrence. Open Access Maced J Med Sci. 2020 Mar 25;8(E):99-104. Available:https://doi.org/10.3889/oamjms.2020.4274
Arian, M, Kazerani, M. Primary hydatid cyst in the adductor muscles of thigh: A case report. Clin Case Rep. 2022; 10:e06664. DOI: 10.1002/ccr3.666
Agrawal DK, Singh SK, Suganita, et al. Unusual presentation of extensive hydatid cyst in calf muscle: A case report. J Evolution Med Dent Sci 2016;5(6):325-329. DOI: 10.14260/jemds/2016/70
Abdelhafid El Marfi, Mohamed Lahsika, Said Senhaji, Hachem Chafik, Ali Krite, Mohamed El Idrissi, Abdelhalim El Ibrahim, Abdelmajid El Mrini, Primary hydatid cyst of the thigh: about four cases, PAMJ - Clinical Medicine - ISSN: 2707-2797. Available:www.clinical-medicine.panafrican-med-journal.com
Gupta V, Tayade A, Kale S, Intramuscular Hydatid Cyst of Adductor Magnus: A Rare Isolated Presentation, NJR. 2013; 3(1).
Özdemir M, Kavak RP, Kavak N, Akdur NC. Primary hydatid cyst in the adductor magnus muscle. BJR Case Rep. 2020; 6:20200019
Landolsi M, Kouki S, Abdennadher A Hydatid cyst of the thigh: A challenging diagnosis Case Reports. 2017;2017:bcr-2017-222113.
Gupta V, Tayade A, Kale S. Intramuscular hydatid cyst of adductor Magnus: A rare isolated presentation. Nepalese Journal of Radiology. 2013 Oct 6;3(1):71-6.