Giant Hydatid Cyst Originating From Psoas Muscle Extending to the Iliac Bone: A Case Report
ABSTRACT Hydatid cysts, caused by the Echinococcus granulosus parasite, predominantly affect the liver and lungs, but can also impact other organs such as the kidneys, brain, and muscles. Infection occurs when individuals ingest eggs from contaminated food or water, leading to cyst formation primari...
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Wiley
2025-01-01
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| Series: | Clinical Case Reports |
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| Online Access: | https://doi.org/10.1002/ccr3.70124 |
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| author | Mohammad Hadi Niakan Fatemeh Mirparsa Hamid Zaferani Arani Sedighe Hooshmandi Elham Peyravi |
| author_facet | Mohammad Hadi Niakan Fatemeh Mirparsa Hamid Zaferani Arani Sedighe Hooshmandi Elham Peyravi |
| author_sort | Mohammad Hadi Niakan |
| collection | DOAJ |
| description | ABSTRACT Hydatid cysts, caused by the Echinococcus granulosus parasite, predominantly affect the liver and lungs, but can also impact other organs such as the kidneys, brain, and muscles. Infection occurs when individuals ingest eggs from contaminated food or water, leading to cyst formation primarily in the liver. While hydatid cysts are commonly found in various endemic regions, muscular involvement is rare, particularly in the psoas muscle. This report presents a case of a muscular hydatid cyst, describes its management, and emphasizes the need for awareness and prompt intervention. A 50‐year‐old man presented with abdominal and left lower limb pain, along with weakness over several days. He was febrile, and a physical examination revealed pain during leg movement. Routine laboratory tests were normal. Ultrasound and computed tomography scans identified a solid cystic mass in the left lower quadrant, extending to the left lumbar muscle. After 28 days of preoperative albendazole therapy, the patient underwent surgery through a Rocky Davis incision, where a large hydatid cyst containing daughter cysts in the psoas muscle was discovered. The cyst was unroofed, and its contents were evacuated, followed by irrigation with hypertonic saline. Postoperative recovery was uneventful. He also received standard medication therapy with albendazole, and during monthly visits, no complications were observed during the one‐year follow‐up. This case contributes to the limited literature on muscular hydatid disease and highlights the importance of awareness among healthcare providers to ensure timely diagnosis and management. |
| format | Article |
| id | doaj-art-eaf64ca6903443f0a3497edcec701969 |
| institution | Kabale University |
| issn | 2050-0904 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
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| series | Clinical Case Reports |
| spelling | doaj-art-eaf64ca6903443f0a3497edcec7019692025-01-24T05:08:46ZengWileyClinical Case Reports2050-09042025-01-01131n/an/a10.1002/ccr3.70124Giant Hydatid Cyst Originating From Psoas Muscle Extending to the Iliac Bone: A Case ReportMohammad Hadi Niakan0Fatemeh Mirparsa1Hamid Zaferani Arani2Sedighe Hooshmandi3Elham Peyravi4Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital Shiraz University of Medical Sciences Shiraz Fars Province IranDepartment of Health Policy, Faculty of Health, Scientific Pole of Health Sciences Education, Tehran Medical Sciences Tehran University of Medical Sciences Tehran IranDepartment of Surgery Shiraz University of Medical Sciences Shiraz IranMedical Imaging Research Center, Department of Radiology Shiraz University of Medical Sciences Shiraz IranDepartment of Surgery Shiraz University of Medical Sciences Shiraz IranABSTRACT Hydatid cysts, caused by the Echinococcus granulosus parasite, predominantly affect the liver and lungs, but can also impact other organs such as the kidneys, brain, and muscles. Infection occurs when individuals ingest eggs from contaminated food or water, leading to cyst formation primarily in the liver. While hydatid cysts are commonly found in various endemic regions, muscular involvement is rare, particularly in the psoas muscle. This report presents a case of a muscular hydatid cyst, describes its management, and emphasizes the need for awareness and prompt intervention. A 50‐year‐old man presented with abdominal and left lower limb pain, along with weakness over several days. He was febrile, and a physical examination revealed pain during leg movement. Routine laboratory tests were normal. Ultrasound and computed tomography scans identified a solid cystic mass in the left lower quadrant, extending to the left lumbar muscle. After 28 days of preoperative albendazole therapy, the patient underwent surgery through a Rocky Davis incision, where a large hydatid cyst containing daughter cysts in the psoas muscle was discovered. The cyst was unroofed, and its contents were evacuated, followed by irrigation with hypertonic saline. Postoperative recovery was uneventful. He also received standard medication therapy with albendazole, and during monthly visits, no complications were observed during the one‐year follow‐up. This case contributes to the limited literature on muscular hydatid disease and highlights the importance of awareness among healthcare providers to ensure timely diagnosis and management.https://doi.org/10.1002/ccr3.70124boneEchinococcus granulosushydatid cystpelvispsoas muscles |
| spellingShingle | Mohammad Hadi Niakan Fatemeh Mirparsa Hamid Zaferani Arani Sedighe Hooshmandi Elham Peyravi Giant Hydatid Cyst Originating From Psoas Muscle Extending to the Iliac Bone: A Case Report Clinical Case Reports bone Echinococcus granulosus hydatid cyst pelvis psoas muscles |
| title | Giant Hydatid Cyst Originating From Psoas Muscle Extending to the Iliac Bone: A Case Report |
| title_full | Giant Hydatid Cyst Originating From Psoas Muscle Extending to the Iliac Bone: A Case Report |
| title_fullStr | Giant Hydatid Cyst Originating From Psoas Muscle Extending to the Iliac Bone: A Case Report |
| title_full_unstemmed | Giant Hydatid Cyst Originating From Psoas Muscle Extending to the Iliac Bone: A Case Report |
| title_short | Giant Hydatid Cyst Originating From Psoas Muscle Extending to the Iliac Bone: A Case Report |
| title_sort | giant hydatid cyst originating from psoas muscle extending to the iliac bone a case report |
| topic | bone Echinococcus granulosus hydatid cyst pelvis psoas muscles |
| url | https://doi.org/10.1002/ccr3.70124 |
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