Hydatid cyst involving Right Pectoralis Major Muscle: A case report. (2019)

• Record Type: Journal Article
• Authors: Jan, ZakaUllah; Zeb, Salma; Shoaib, Azam; Ullah, Kaleem; Muslim, Muhammad; Anjum, Humaira; Wazir, Hina; Aurangzeb, Mahmud
• Is Part Of: International journal of surgery case reports. Volume 58(2019)
• Page Start: 54
• Page End: 56
• Publication Date: 2019
• Subjects: Hydatid cyst -- Pectoralis major -- Echinococcosis; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2019.04.004
• Languages: English
• ISSNs: 2210-2612

Abstract

Highlights: Hydatid cyst is fairly common in endemic areas & can involve any part of the body. Involvement of Pectoralis major muscle is rare. Ultrasound and CT scan help in diagnosing them. Most of the times, surgery is the usual treatment modality, followed by irrigation with a scolicidal agent. A course of albendazole should be prescribed after surgery. Hydatid cyst is fairly common in endemic areas & can involve any part of the body. Involvement of Pectoralis major muscle is rare. Ultrasound and CT scan help in diagnosing them. Most of the times, surgery is the usual treatment modality, followed by irrigation with a scolicidal agent. A course of albendazole should be prescribed after surgery. Abstract: Background and aim: Hydatid disease is caused by Echinococcus granulosus; a tapeworm. They rarely affect the musculoskeletal system of the body (<5% of cases). The objective of this case report is to discuss about hydatid cyst disease involving the right pectoralis major muscle. Case presentation: Herein, we report a case of a 35 years old lady who came to the outpatient department with a gradually increasing soft swelling at the right upper chest below the clavicle. The final diagnosis was made with the help of a CT scan. The cyst was excised and the area was washed with a scolicidal agent. There was no recurrence after six months of follow up and the patient was doing well. Conclusion: Hydatid cyst of the Pectoralis Major is rare and must be considered in the differential of any muscular swelling in the body in endemic areas. These cysts should be treated with enucleation/excicion followed by irrigation of the area with a scolicidal agent.