Majid Samsami1, Shohra Qaderi2, Javad Zebarjadi Bagherpour3, Don Eliseo Lucero-Prisno4. 1. Department of General Surgery, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address: samsamimd@sbmu.ac.ir. 2. School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address: Shohra_qaderi@yahoo.com. 3. Department of General Surgery, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address: javad.zebarjady@yahoo.com. 4. Faculty of Management and Development Studies, University of the Philippines, Los Banos, Laguna, Philippines. Electronic address: don-eliseo.lucero-prisno@lshtm.ac.uk.
Abstract
INTRODUCTION: Hydatid Disease (HD), or hydatidosis or echinococcosis, is an endemic infection and a major public health concern in the Mediterranean region. At times it involves the primary soft tissues, such as in the breast and muscle, though this is quite uncommon even in endemic areas. PRESENTATION OF CASES: A. A 31 year-old woman complained of a gradual progressive, painless lump in the left axillary tail of spence for two years. Examination revealed a firm lump measuring 5cm × 5cm, non-mobile, in the left axillary tail of Spence. B. A 32 year-old woman presented with mild and continuous pain in lateral aspect of left thigh. On examination, there was a round, non-tender, non-mobile mass in the lateral aspect of her left thigh. Preoperative imaging studies in both patients revealed evidence of HD. Both of the patients underwent surgery and received Albendazole twice per day for 10 days, before and three months after surgery. DISCUSSION: The disease can be diagnosed by serological and radiological modalities, both of which are not definitive. Ultrasonography should be the first diagnostic modality of soft tissue HD, however, MRI can be used to understand clearly the surgical involvements of structures. The standard treatment of soft tissue HD is surgery using pericystectomy techniques, as well as anthelmintic therapy. CONCLUSION: HD should be suggestive in soft tissues if mass is slowly developing and presenting with local extension, particularly in endemic countries. Excision of HD using pericystectomy technique is the first choice of intervention for HD of soft tissues.
INTRODUCTION: Hydatid Disease (HD), or hydatidosis or echinococcosis, is an endemic infection and a major public health concern in the Mediterranean region. At times it involves the primary soft tissues, such as in the breast and muscle, though this is quite uncommon even in endemic areas. PRESENTATION OF CASES: A. A 31 year-old woman complained of a gradual progressive, painless lump in the left axillary tail of spence for two years. Examination revealed a firm lump measuring 5cm × 5cm, non-mobile, in the left axillary tail of Spence. B. A 32 year-old woman presented with mild and continuous pain in lateral aspect of left thigh. On examination, there was a round, non-tender, non-mobile mass in the lateral aspect of her left thigh. Preoperative imaging studies in both patients revealed evidence of HD. Both of the patients underwent surgery and received Albendazole twice per day for 10 days, before and three months after surgery. DISCUSSION: The disease can be diagnosed by serological and radiological modalities, both of which are not definitive. Ultrasonography should be the first diagnostic modality of soft tissue HD, however, MRI can be used to understand clearly the surgical involvements of structures. The standard treatment of soft tissue HD is surgery using pericystectomy techniques, as well as anthelmintic therapy. CONCLUSION: HD should be suggestive in soft tissues if mass is slowly developing and presenting with local extension, particularly in endemic countries. Excision of HD using pericystectomy technique is the first choice of intervention for HD of soft tissues.
Authors: S Jerbi Omezzine; F Abid; H Mnif; C Hafsa; I Thabet; A Abderrazek; N Sassi; H A Hamza Journal: Orthop Traumatol Surg Res Date: 2010-02 Impact factor: 2.256
Authors: A Daoudi; M Shimi; K Lahrach; A Elibrahimi; W D Loudiyi; M F Amar; B Chbani; F Boutayeb; A Elmrini; K Chakour Journal: Chir Main Date: 2009-04-03