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male patient who presented with swelling of size 8x9cm in right upper thigh since
made – results of fine needle aspiration cytology are inconclusive. USG of lump
Excision of lump done, well encapsulated, intramuscular soft and cystic swelling.
The occurrence of the hydatid cysts in the thigh is almost rare, most of the
hydatid cysts reported in the liver and lungs. It can also affect fallopian tube,
uterus, mesentery, pancreas and diaphragm. We report this uncommon and rare
this case report to draw attention towards the extrahepatic and extra- abdominal
Case report
right upper thigh in posteromedical aspect since 12 yers and pain in the swelling
since 1 month. Pain was vague dull acting in nature, low to medium in intensity
non tender, solitary swelling soft to firm to consistency measuring of about 8x9
right upper thigh, colour of skin over swelling was normal well defined margin, no
fine needle aspiration cytology reports inconclusive, USG lumpright thigh was
aspect of right high showing multiple variable sized cysts with in it. Lesion was
Features suggestive of hydatid cyst right thigh the surgery was planned
and complete excision of well encapsulated intramuscular cystic lump done with
with in the mother cysts, hydatid fluid and sand were present.
Post operative period was uneventful and patient was discharge after removal of
all stitches wound was healthy and was discharge on Mebendazole and advise
the patient for regular followup after confirm the histopathological report.
Discussion
More than 90% of hydatid cysts occur in the liver, lungs, or both. Peripheral
organ hydatidosis is much less common, as few embryos can escape the
intramuscular localizations
Bayram and siricki reported the 1st intermuscular hydatid cysts in forearm region
Rim and multicystic appearance are typical features of hydatid cysts. However,
various pattern such as unilocular cysts, multilocular lesion and atypical complex
tests.
Compared to imaging method, serological assay are less expensive and easier
to perform. Serology has high semitinvity for liver 80-100% and a lesser
involvement.
In our case, no preoperative diagnosis made appropriately but the USG leads to