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Case Reports
. 2022 Jul 7;17(9):3277-3280.
doi: 10.1016/j.radcr.2022.06.021. eCollection 2022 Sep.

Primary muscular hydadit cyst: Case report

Khadija Laasri  1 , Kaoutar Imrani  1 , Jihad Boularab  1 , Ilias Ahlat  2 , Jalal Mekkaoui  2 , Mohamed Saleh Berrada  2 , Nabil Moatassim Billah  1 , Ittimade Nassar  3
Affiliations
Case Reports

Primary muscular hydadit cyst: Case report

Khadija Laasri et al. Radiol Case Rep. .

Abstract

Primary hydatid disease of the skeletal muscle without systemic involvement is rare. Since the infection appears on clinical examination to be a soft-tissue tumor. It is important to have a preoperative radiological evaluation, particularly with magnetic resonance imaging (MRI) to avoid biopsy or improper cyst management during surgery. We present a unique case of a primary hydatid cyst manifesting as an expanding soft-tissue mass in a 31-year-old woman's left thigh with magnetic resonance imaging revealed a very suggestive aspect of hydatid cyst in the adductor muscles and shows the interaction between cysts and nearby structures. The cyst was surgically removed, and macroscopic and microscopic histopathological examinations confirmed the diagnosis of muscular hydatidosis.

Keywords: Intramuscular hydatid cyst; Primary hydatidosis; imaging.

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Figures

Fig 1
Fig. 1
The clinical finding. Swelling mass in the adductor compartment of upper left tigh (Arrow).
Fig 2
Fig. 2
MRI images of hydatid cyst within adductor muscles containing daughter cysts occupying almost the entire volume of the mother cyst. (A) T1 weighted spin echo Coronal image demonstrates multiple daughter cysts showing lower signal intensity, (B) T2 weighted gradient echo and Fat saturated axial image the daughter cysts are hyperintense signal, and (C) T1weighted and fat saturated image after intravenious injection of gadolinium showing diffuse pericystic enhancement.
Fig 3
Fig. 3
Intraoperative view of the mass. Macroscopic aspect.
See this image and copyright information in PMC

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