PMC6170218_01
(a) Comparison between thighs, deep intramuscular, slight difference appear, (b) Marked skin incision over right thigh.
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No bruit or venous hum was heard as in Fig. 1a and b.
Ultrasound picture show cystic mass deep intramuscular.
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Patient sends for an ultrasound which shows cystic lesion deep intramuscular upper medial aspect of right thigh inside the muscle as shown in Fig. 2.
(a) MRI picture cross-sectional view thigh show adductor magnus cystic mass, (b) MRI cross-sectional view upper thigh show cystic mass.
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MRI features were suggestive of hydatid cystic mass without infiltrating bone nor surrounding neurovascular structures as in Figs. 3a, b and 4 ).
MRI coronal plane show cystic mass in adductor muscle of right thigh.
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MRI features were suggestive of hydatid cystic mass without infiltrating bone nor surrounding neurovascular structures as in Figs. 3a, b and 4 ).
(a) Scolicidal injection, (b) Pericystectomy of cyst.
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Patient was prepared for elective surgery with consent and anthelminthic therapy was initiated preoperatively for 5 days, Incision done over site of location of the cyst until reach the adductor magnus muscle the care was taken to avoid spillage, 10% Betadine soaked mops were placed around the cyst suction tube nearby and needle aspiration of clear fluid then the injection of scolicidal agent cetrimide (1.5%) instilled in it as in Fig. 5. Wait 5 min then incision on cyst did, through meticulous pericystectomy along surrounding muscle fibers Fig. 5a and b.
Histological view hydatid cyst (Hematoxylin & Eosin stain x200.
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The diagnosis of a hydatid cyst was confirmed with macroscopic and microscopic histopathological examinations after removal of the mass as in Fig. 6, Fig. 7.