[Hydatid cyst of the psoas muscle].
[Hydatid cyst of the psoas muscle].
复制标题
DOI：
10.1684/san.2007.0064
复制
发表时间：
2007-07-01
期刊：
影响因子：
--
通讯作者：
Belkouchi, Abdelkader
中科院分区：
文献类型：
--
作者：
El Malki, Hadj Omar;El Mejdoubi, Yasser;Belkouchi, Abdelkader
虽然包虫囊肿可以发生在身体的任何部位，但孤立的肌肉定位是罕见的。据报道，只有大约30多起此类案件。作者报告了一例38岁男性患者，因左髂区域孤立性腹痛就诊。影像学检查显示左侧腰大肌有一个单纯的包虫囊肿。囊肿以腹膜外横切式剖腹术移除。出现小腿神经麻痹，但2个月后消退，24个月后未复发。超声检查是诊断肌型包虫囊肿的首选方法。不需要其他诊断工具。手术治疗仍然是最好的。我们推荐去顶术而不是会阴切开术。在做出任何治疗决定之前，必须寻求其他囊肿定位，因为它们决定了最初的手术治疗，并允许考虑其他治疗方法与手术相结合。
While hydatid cysts may occur in any area of the body, isolated muscular localizations are rare. Only some thirty-odd such cases have been reported. The authors report the case of a 38-year-old man who consulted for isolated abdominal pain in the left iliac region. Radiographic study showed a simple hydatid cyst of the left psoas muscle. The cyst was removed by extraperitoneal transverse laparotomy. Crural nerve palsy occurred but regressed after 2 months and had not recurred after 24 months. Ultrasonography is the preferred method for detecting muscular hydatid cysts. No other diagnostic tool is needed. Surgical treatment remains best. We recommend the unroofing technique over pericystectomy. Other cyst localizations must be sought before any therapeutic decision, since they determine the initial surgical management and allow consideration of other therapeutic methods to be combined with surgery.