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A Journal on Surgery

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Chirurgia 2006 December;19(6):471-3

language: English

Unusual location of echinococcosis and surgical management. Report of a case

Lombardi A. 1, Teggi A. 2, Conte S. 1, Pezzatini M. 1, Lo Russo M. 1, Moscaroli A. 1, Angelini L. 1

1 Department of Surgery, Division of Surgery B II School of Medicine, University of Rome “La Sapienza”, S. Andrea Hospital, Rome, Italy
2 Department of Infectious Diseases, II School of Medicine, University of Rome “La Sapienza” S. Andrea Hospital, Rome, Italy


Cystic echinococcosis or Hydatid disease is a zoonosis caused in human by larval stages of cestodes belonging to the genus Echinococcus. It is characterized by cysts formation in various organs, especially liver and lungs. The musculoskeletal involvement is extremely rare and its pathogenesis remains ill understood. We report our experience in the management of a patient who developed hydatid disease of the psoas muscle after previous surgery. The patient did not present any symptoms related to the abdominal mass. The surgical procedure consisted of a capitonnage with partial pericystectomy. The patient was discharged in well conditions on continuous albendazole therapy. The choice of the surgical access should be based on the single patient, localization of the cysts and on the experience of surgical team. Perioperative and long-term adjuvant chemotherapy with benzimidazole compounds- albendazole and mebendazole- is the medical therapy required in these cases.

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