Primary hydatid disease of the thigh. A rare location - 11/02/10

Doi : 10.1016/j.otsr.2009.10.016

S. Jerbi Omezzine ^a,^⁎ , F. Abid ^b, H. Mnif ^c, C. Hafsa ^a, I. Thabet ^a, A. Abderrazek ^c, N. Sassi ^b, H.A. Hamza ^a
^a Medical Imaging Department Tahar Sfar Teaching Medical Center, Mahdia, Tunisia
^b Department of Orthopaedics Tahar Sfar Teaching Medical Center, Mahdia, Tunisia
^c Department of Orthopaedics Fattouma Bourguiba Teaching Medical Center, Monastir, Tunisia

Corresponding author. Tel.: +21 698460787.

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Summary

Primary muscle hydatidosis is very rare, accounting for less than 1% of hydatid cyst locations. Clinical symptoms are insidious and non-specific causing a frequent delay in diagnosis. Intramuscular hydatid disease can cause a variety of diagnostic problems, especially in the absence of typical radiologic findings. We report the observation of an 82-year-old man consulting for inguinal tumefaction with radiological exploration suggestive of hydatid cyst of the adductors muscles. Magnetic resonance imaging (MRI) is helpful in diagnosis, since it reveals a very suggestive aspect and demonstrates the relationship between cysts and adjacent structures. Treatment of muscle echinococcosis is based on surgery, which is curative and incurs a low risk of local relapse.

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Keywords : Hydatid cyst, Soft tissue echinococcosis, Muscle, Imaging