■包虫病可以影响人体任何器官。腰大肌包虫囊肿的发生是罕见的,仅占病例的1-3%,甚至在流行地区。然而,多发性囊肿的存在更为罕见。
方法:一名来自农村地区的40岁女性出现腹痛。体格检查显示右侧软骨病有压痛。七年前她有肺包虫膀胱切除术史。放射学检查显示,左腰大肌内有两个包虫囊肿。对两个包虫囊肿进行了膀胱切除术。患者服用阿苯达唑的剂量为15mg/kg,在最近一个月的随访预约中,患者未出现任何复发.
■此例表现为腰肌多发性包虫囊肿的罕见情况,强调在流行地区考虑非典型表现的重要性。
结论:该病例突出了一名农村中年妇女腰大肌包虫囊肿的罕见性。早期识别,准确的放射学评估,适当的手术治疗对于积极的结果和避免感染等并发症至关重要,压缩附近的结构,或者过敏反应.
UNASSIGNED: Hydatid disease can affect any human organ. The occurrence of hydatid cysts in psoas muscle is rare, accounting for only 1-3 % of cases, and even in endemic regions. However, the presence of multiple cysts is even more rare.
METHODS: A 40-year-old female from a rural area presented with abdominal pain. Physical examination revealed tenderness in the right hypochondrium. Her medical history pulmonary hydatid cystectomy seven years ago. Radiology investigation showed a two-hydatid cyst within the left psoas major muscle. Cystectomy of two hydatid cyst was performed. The patient was prescribed albendazole at a dose of 15 mg/kg, and at the latest month\'s follow-up appointment, the patient did not experience any relapse.
UNASSIGNED: This case presents a rare instance of multiple hydatid cysts in the psoas muscle, highlighting the importance of considering atypical presentations in endemic regions.
CONCLUSIONS: This case highlights the rarity of psoas major muscle hydatid cysts in a middle-aged woman from a rural area. Early recognition, accurate radiological assessment, and proper surgical treatment are crucial for positive outcomes and averting complications like infection, compression of nearby structures, or anaphylactic reactions.