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 Vol. 21; no. 282; p. 282
Main Authors:	Ouakrim, Redouane, Amziane, Zouhir, Younes, Ouchrif, Eloukili, Issam, Kharmaz, Mohammed, Lamrani, Moulay Omar, Elbardouni, Ahmed, Mahfoud, Mustapha, Saleh, Berrada Mohammed
Format:	Journal Article
Language:	English
Published:	Uganda The African Field Epidemiology Network 13-08-2015 The Pan African Medical Journal
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 muscular hydatid cyst radical excision anthelmanthic chemotherapy 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.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	1937-8688 1937-8688
DOI:	10.11604/pamj.2015.21.282.6767