Primary axillary hydatid cyst: A case report.

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL Journal of Medical Case Reports Pub Date : 2024-10-21 DOI:10.1186/s13256-024-04830-7
Jesintha Christina, Shamita Chatterjee, Pritin Bera, Uttara Chatterjee
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Abstract

Background: Hydatid disease, also known as echinococcosis, is an endemic parasitic infection, most commonly caused by Echinococcus granulosus. It may affect any organ resulting in the formation of hydatid cysts, but most frequently involves liver and lungs. Hydatid cyst arising primarily from axilla is an extremely rare manifestation of this condition, with only a few cases reported in medical literature.

Case presentation: Here we present the case of a 32-year-old Indian male farmer, who presented with a painless, slow-growing mass in the left axillary region of 8 months duration. Preoperative imaging led us to the diagnosis of primary axillary hydatid cyst, with no other associated cysts or masses anywhere else in the body. Following antihelmintic therapy, the cyst was surgically excised without rupture. The diagnosis was further confirmed by macroscopic and histopathological examination.

Conclusion: This case report highlights the importance of considering hydatid cyst in the differential diagnosis of palpable masses in the axillary region, especially in regions where the disease is endemic. Early recognition and accurate diagnosis are crucial for appropriate management and optimal patient outcomes.

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原发性腋窝水瘤囊肿:病例报告
背景:包虫病又称棘球蚴病,是一种地方性寄生虫感染,最常见的病原体是颗粒棘球蚴。该病可影响任何器官,导致形成包虫囊肿,但最常累及肝脏和肺部。主要发生于腋窝的包虫囊肿是这种疾病的一种极为罕见的表现形式,医学文献中仅有几例报道:本病例是一名 32 岁的印度男性农民,因左侧腋窝出现无痛、生长缓慢的肿块而就诊,病程长达 8 个月。术前影像学诊断为原发性腋窝包虫囊肿,身体其他部位没有其他相关囊肿或肿块。经过抗蠕虫治疗后,囊肿被手术切除,没有破裂。宏观和组织病理学检查进一步确诊:本病例报告强调了在鉴别诊断腋窝部位可触及的肿块时考虑包虫囊肿的重要性,尤其是在包虫病流行的地区。早期识别和准确诊断对于适当的治疗和患者的最佳预后至关重要。
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来源期刊
Journal of Medical Case Reports
Journal of Medical Case Reports Medicine-Medicine (all)
CiteScore
1.50
自引率
0.00%
发文量
436
期刊介绍: JMCR is an open access, peer-reviewed online journal that will consider any original case report that expands the field of general medical knowledge. Reports should show one of the following: 1. Unreported or unusual side effects or adverse interactions involving medications 2. Unexpected or unusual presentations of a disease 3. New associations or variations in disease processes 4. Presentations, diagnoses and/or management of new and emerging diseases 5. An unexpected association between diseases or symptoms 6. An unexpected event in the course of observing or treating a patient 7. Findings that shed new light on the possible pathogenesis of a disease or an adverse effect
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