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首页> 外文期刊>BMC Pediatrics >Unusual intramuscular locations as a first presentation of hydatid cyst disease in children: a report of two cases
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Unusual intramuscular locations as a first presentation of hydatid cyst disease in children: a report of two cases

机译：不寻常的肌肉内部作为儿童纳米湿囊肿病的第一次介绍：两种情况的报告

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摘要

Hydatid disease is an endemic disease in many countries of the world including the Middle East. It mainly affects the liver and lungs. Intramuscular hydatid disease is rarely reported in children. Such uncommon localization of hydatid cyst may pose difficulties in the clinical and radiological diagnosis; hence affecting patient’s management and outcome even in endemic areas. We herein describe intramuscular hydatid cysts in 2 different children. The first case is a 5-year-old boy who presented with a painless palpable lump over the right lumbar paraspinal region. His history was remarkable for sheep contact. His laboratory results revealed a mild increase in white blood cell (WBC) count and C-reactive protein. The lesion showed typical features of a hydatid cyst on ultrasound. Further imaging including ultrasound of the abdomen and CT of the chest, abdomen, and pelvis showed infestation of the liver and lung as well. The lesions were resected surgically without complications. The patient received Albendazole preoperatively and after surgery for 3?months. No evidence of recurrence was seen during follow-up. The second case is a 6-year-old girl who presented with an incidental palpable lump in her left thigh during her hospital admission for recurrent meningitis. Ultrasound and MRI imaging were performed demonstrating a unilocular cystic lesion in the left proximal rectus femoris muscle. A provisional diagnosis of hematoma vs. myxoma was given. Biopsy was performed and yielded blood products only. The lesion was resected surgically with a postoperative diagnosis of hydatid cyst. Blood tests performed afterward showed a positive titer for Echinococcus. The patient received Albendazole for 3?months. No evidence of recurrence was seen during follow-up. Despite its rarity; skeletal muscle hydatid cyst should always be considered in the differential diagnosis of cystic muscle lesions in children in endemic areas even if imaging studies did not show any of the typical signs. This will improve patient outcome by preventing unnecessary cystic puncture which might lead to serious complications, such as anaphylaxis and local dissemination.
机译：纳米湿疾病是世界上许多国家的地方病，包括中东。它主要影响肝脏和肺部。儿童很少报道肌内囊状疾病。这种罕见的包发虫囊肿本地化可能在临床和放射诊断中造成困难;因此，即使在流行地区也影响患者的管理和结果。我们在此描述了2种不同儿童的肌内囊状囊肿。第一个案例是一个5岁的男孩，在右侧腰部地区呈现出无痛的痛苦肿块。他的历史对于绵羊联系是显着的。他的实验室结果显示白细胞（WBC）计数和C反应蛋白的轻度增加。病变显示了超声波囊肿的典型特征。进一步的成像，包括腹部和胸部，腹部和骨盆的超声波表现出肝脏和肺的侵染。病变在手术上被切除，没有并发症。患者术前和手术后术前和3个月接受过albendazole。在随访期间没有看到复发的证据。第二个案例是一名6岁的女孩，在她的左大腿内举行了一个偶然的明显的肿块，在她的医院入院进行复发性脑膜炎。进行超声波和MRI成像，证明左侧直肠肌肌中的一个单目囊性病变。给出了血肿与肌瘤的临时诊断。进行活组织检查并仅进行血液产品。病变通过术后诊断包扎囊肿来切除疾病。随后进行的血液试验显示了echinococcus的正滴度。患者接受了3个月的阿伦萨唑。在随访期间没有看到复发的证据。尽管它很罕见;即使成像研究没有显示任何典型的迹象，骨骼肌囊状囊肿应始终考虑在流行区域儿童囊性肌肉病变的肠肌病变中的差异诊断。通过防止可能导致严重并发症的不必要的囊性穿刺，这将改善患者结果，例如过敏反应和局部传播。

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