Multiple Hydatid Cyst In Gluteal Region: A Case Report - Abstract
Introduction: Human hydatid disease is a parasitic infestation caused by Echinococcus granulosus . The disease is prevalent in most parts of the world, especially in sheep farming and cattle farming areas . Primary subcutaneous hydatid disease is a rare pathology even in endemic area of Echinococcosis. Preoperative diagnosis is essential to prevent intraoperative dissemination and rupture of the cyst.
Case presentation: We present a 54-year-old caucasian female referred with left gluteal mass. Ultrasound examination showed multiple cystic lesion in the subcutaneous tissue localized on gluteus maximus Magnetic resonance images revealed cystic mass approximately 64x58x51 mm in adipose tissue at lateral gluteal region and 4 further cysts that the major one approximately 22x15x8 mm at posterolateral region of the major cyst. Cyst had a double layered wall appearence. Patient was treated with surgical excision followed by medical therapy. Small cysts treated by long term albendasole therapy. Clinical, radiological and serologic tests showed no recurrence after treatment.
Conclusion: We suggest direct spreading of E. granulosus to adjecent sites in our case. Surgical excision and postoperative albendasole therapy used for treatment of hydatid cyst. Subcutaneous hydatid cyst should be remembered in differental diagnosis of slow growing soft tissue mass especially in endemic regions.