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Hydatid cyst in rectus abdominis muscle in a child: An unusual occurrence

Chiranjib Nag1, Mrinalkanti Ghosh, Taraknath Ghosh

  • 1Department of General Medicine, Burdwan Medical College, Burdwan, India.

Tropical Parasitology
|March 20, 2013
PubMed

Insights

This case report details a rare instance of a hydatid cyst in a child

Area of Science:

  • Parasitology
  • Pediatric Surgery
  • Radiology

Background:

  • Hydatid cysts commonly affect the liver, with extrahepatic manifestations occurring in 11% of abdominal cases.
  • Unusual sites for hydatid cysts include the kidney, heart, spleen, pancreas, and brain.
  • Isolated muscle involvement by hydatid cysts is exceptionally rare in pediatric patients.

Observation:

  • A pediatric case presented with an isolated hydatid cyst within the rectus abdominis muscle.
  • No other cystic localizations were detected in the patient.
  • Preoperative serological tests for cystic echinococcosis yielded negative results.

Findings:

  • The patient underwent successful surgical excision of the rectus abdominis muscle cyst.
  • Pathological examination definitively confirmed the presence of a hydatid cyst.
  • This case represents a highly unusual, isolated muscular presentation of echinococcosis in a child.

Implications:

  • This case underscores the importance of considering rare extrahepatic localizations of hydatid disease, even in the absence of typical symptoms or positive serology.
  • It highlights the diagnostic and surgical challenges posed by isolated muscular hydatid cysts in pediatric populations.
  • Further research into the epidemiology and diagnostic modalities for unusual hydatid cyst presentations is warranted.

Keywords:
Childrenhydatid cystrectus abdominis muscle

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