Primary Gluteal Intramuscular Hydatid Cyst: A Case Report

Urvi Antala *

Department of General Surgery, Gujarat Adani Institute of Medical Sciences, Bhuj, India.

Raj Dangarosia

Department of General Surgery, Gujarat Adani Institute of Medical Sciences, Bhuj, India.

Yash Patel

Department of General Surgery, Gujarat Adani Institute of Medical Sciences, Bhuj, India.

*Author to whom correspondence should be addressed.


Abstract

Introduction: Hydatid disease is a parasitic infection caused by the tapeworm, Echinococcus granulosus. It commonly occurs in the liver and lungs. Primary intramuscular hydatidosis is a rare presentation.

Case Report: We report a 68-year-old lady diagnosed with primary gluteal intramuscular hydatid disease with no involvement of any other viscera. Perioperative Albendazole therapy with surgical excision was done. Follow-up till 3rd month after the surgery was maintained. No signs of local recurrence were seen.

Discussion: The primary intramuscular hydatid cyst is an uncommon location because the lactic acid in muscles and contraction of muscles hinders the development of parasitic cysts. Treatment of choice is complete surgical excision of the cyst along with thorough irrigation of the wound with hypertonic saline (3%) to prevent local recurrence and anaphylaxis. Systemic antihelminthic therapy with Albendazole before and after the surgery also plays an important role.

Conclusion: Diagnosis of primary gluteal hydatid cyst in an isolated form is difficult. However, it must be kept in mind by the clinicians in patients coming from endemic areas with musculoskeletal swelling involved in agricultural work.

Keywords: Hydatid cyst, intramuscular, gluteal swelling, soft tissue swelling, echinococcus, albendazole, recurrence


How to Cite

Antala , Urvi, Raj Dangarosia, and Yash Patel. 2024. “Primary Gluteal Intramuscular Hydatid Cyst: A Case Report”. Asian Journal of Case Reports in Surgery 7 (1):114-19. https://journalajcrs.com/index.php/AJCRS/article/view/507.

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References

Abdulaziz M Almulhim, Savio John. Echinococcus Granulosus. Statpearls [Internet].

McManus DP, Zhang W, Li J, Bartley PB. Echinococcus. Lancet. 2003 Oct 18;362(9392):1295-304.

Lakhanpal V, et al. An arcane case report of primary intramuscular hydatid cyst of thigh. International Journal of Surgery Case Reports. 2021;80:105595.

Sezgin Zeren, Ugur Kesici, Sevgi Kesici. Gluteal Hydatid Cyst: Report of a case. Acta Medica Iranica. 2015;53(6).

SMM. Al-Hakkak. Adductor magnus muscle primary hydatid cyst rare unusual site: A case report. International Journal of Surgery Case Reports. 2018;51:379-384.

Mirsalim Seyedsadeghi et al. Gluteal Hydatid Cyst: A Case Report. Iran J Parasitol. Jul-Sep 2019;14(3):487-491.

Soltany, et al. Evaluation of musculoskeletal hydatid cyst cases in terms of clinical manifestations, method of dealing, treatment and recurrence. Open Access Maced J Med Sci. 2020 Mar 25;8(E):99-104.

Lamghari M et al. Primary hydatid cyst of gluteal muscle, an Anusual Location: A Case Report and a Literature Review. Austin J Surg. 2022;9(1):1286.

Chaouch MA, et al. A case report of primary multiple hydatid cysts of psoas muscle: An exceptional location. ID Cases. 2022;30:e01637.

Lorenzetti L. Contribution to the knowledge of primary echinococcus of the muscles. Gazz Int Med e Chir. 1962;67:2775-95.