PDF(Pubmed)
Abstract：
Hydatid cyst is an infestation caused by Echinococcus granulosus, which is endemic in most countries and most commonly affects the liver and lungs. Isolated muscle involvement is very rare and accounts for 3-5% of all cases. In April 2022, Health Sciences University Elaziğ Fethi Sekin City and Research Hospital in Turkey received a referral for a 37-year-old male patient from the physical therapy and rehabilitation outpatient clinic. The patient presented with complaints of chronic pain in his left shoulder and back, which worsened with movement. After the radiological and serological confirmation of diagnosis, the patient underwent wide surgical resection, adjuvant and neoadjuvant anthelmintic chemotherapy. Precise and complete removal of the cyst without infecting the surrounding tissues combined with anthelmintic chemotherapy will not only increase the success of the surgery but will also minimize the possibility of recurrence and distant organ spread. In this study, we aimed to raise awareness by presenting the first reported isolated hydatid cyst in the infraspinatus muscle case from our country, which is extremely rare.
摘要：
包虫囊肿是由细粒棘球蚴引起的感染，这在大多数国家是地方性的，最常见的影响肝脏和肺。孤立的肌肉受累非常罕见，占所有病例的3-5％。2022年4月，土耳其健康科学大学埃拉齐·费蒂·塞金市和研究医院从物理治疗和康复门诊诊所接受了一名37岁男性患者的转诊。患者出现左肩和背部慢性疼痛的抱怨，随着运动而恶化。在放射学和血清学诊断确认后，患者接受了广泛的手术切除，辅助和新辅助驱虫化疗。在不感染周围组织的情况下精确和完全切除囊肿，结合驱虫化疗不仅会增加手术的成功率，而且还会最大程度地减少复发和远处器官扩散的可能性。在这项研究中,我们旨在通过介绍我国首次报告的冈下肌包虫囊肿病例来提高人们的认识，这是非常罕见的。
