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HYDATI D CYST IN TH E
TH IG H
*Dr.(prof)A.K.Sharma(MS)
**Dr.Gambheer Singh(MS)
***Dr.Rajan Kumar
INTRO DUC TI ON
35 years old male
patient
Palpable mass in
right upper thigh in
posteromedial
aspect
Duration – 12 years
Pain since 1 month
No H/O animal
contact
O/E:-
Solitary swelling
8x9 cm ovoid in shape
Soft to firm in consistency
Non tender
Smooth surface
Overlying skin was normal
Well defined margin
No impulse on coughing
No pulsation.
O/ E (contd.)
Mobility Freely mobile in
relaxed position
Restricted on
muscle contraction
Absent
Fluctuation
Absent
Transillumination
Dull
Percussion
No bruit,no thrill
auscultation
Diff erentia l Di agnosis
Rhabomyosacroma
Lipoma
Liposarcoma
Neurofibroma
Hydatid cyst
INVE STI GAT IO NS
Routine lab With in normal limit
investigation
Eosinophil count With in normal limit
FNAC Inconclusive
USG lump right a fusiform lesion
thigh multiple variable
sized cysts with in it
well defined
capsulated
intramuscular
OP ERATI ON
F/S/O hydatid cyst
right thigh
surgery was planned
complete excision of
well encapsulated
intramuscular cystic
lump done with
preservation of all
important vessel,
nerves and muscles
Gr oss Ex amin ation
Mic rosc opic
Ex amin ation
Hist opatholo gy
Liver 80-100%
Lung cyst infection 55%
Other organ
25-56%
involvement