Locally recurrent subcutaneous and muscular hydatid cysts of the leg: an unusual case report

We report a rare case of 50-year-old Moroccan woman with local recurrence of a subcutaneous hydatid cyst in proximity to the medial surface of the tibia and another cyst at the tibialis posterior muscle in the absence of liver, lung und spleen involvement. The first surgery was done in another hospi...

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Bibliographic Details
Published in:The Pan African medical journal 2015-08, Vol.21 (282), p.282-282
Main Authors: Ouakrim, Redouane, Amziane, Zouhir, Younes, Ouchrif, Eloukili, Issam, Kharmaz, Mohammed, Lamrani, Moulay Omar, Elbardouni, Ahmed, Mahfoud, Mustapha, Saleh, Berrada Mohammed
Format: Article
Language:English
Subjects:
anthelmanthic chemotherapy
Anthelmintics - administration & dosage
Case Report
Combined Modality Therapy
Echinococcosis - diagnosis
Echinococcosis - drug therapy
Echinococcosis - surgery
Female
Humans
Leg - parasitology
Leg - surgery
Magnetic Resonance Imaging
Middle Aged
Muscle, Skeletal - parasitology
Muscle, Skeletal - surgery
muscular hydatid cyst
radical excision
Recurrence
recurrent
subcutaneous hydatid cyst
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Summary:We report a rare case of 50-year-old Moroccan woman with local recurrence of a subcutaneous hydatid cyst in proximity to the medial surface of the tibia and another cyst at the tibialis posterior muscle in the absence of liver, lung und spleen involvement. The first surgery was done in another hospital three years ago; no adjuvant treatment was performed after surgery. Recurrence was diagnosed according to the MRI appearance, serological and pathological findings. The patient underwent complete excision of the subcutaneous cyst with two centimeters of the medial gastrocnemius muscle; the tibialis posterior muscle cyst was intraoperatively drained and irrigated with scolicidal agent as it was next to the posterior tibial pedicle. A periopertive anthelmintic chemotherapy was administered. Two years after the patient showed no recurrence. This case report and literature review describe an approach to the diagnosis and management of this pathological entity.
ISSN:1937-8688
1937-8688
DOI:10.11604/pamj.2015.21.282.6767