Primary chest wall hydatidosis

Background Primary involvement of muscles is very rare in cases of hydatidosis. Even rarer is a primary hydatid cyst of the thoracic chest wall. Case report A 50-year-old man was admitted to our hospital with a semimobile and well-circumscribed mass at the 6th intercostal space. He had a history of...

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Published inHellenic journal of surgery Vol. 82; no. 6; pp. 374 - 377
Main Authors Ninos, A., Papaevangelou, A., Papakonstantinou, E., Maletsikopoulos, S., Palivos, L., Vidali, M., Antonakas, P., Farazi, Ch, Papandrikos, J., Pierrakakis, S.
Format Journal Article
LanguageEnglish
Published Vienna Springer Vienna 01.12.2010
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Summary:Background Primary involvement of muscles is very rare in cases of hydatidosis. Even rarer is a primary hydatid cyst of the thoracic chest wall. Case report A 50-year-old man was admitted to our hospital with a semimobile and well-circumscribed mass at the 6th intercostal space. He had a history of excision of a hydatid cyst at the same location three years earlier. A CT scan revealed a multivesicular cystic mass. Despite having negative antibody titers, he was given a preoperative course of alvendasole. The cystic mass was excised intact. He received two more cycles of alvendasole postoperatively. Conclusions A multiloculated mass in the thoracic chest wall may well represent a hydatid cyst. A radiographic confirmation obviates the need for further manipulation until the definitive surgical resection
ISSN:0018-0092
1868-8845
DOI:10.1007/s13126-010-0057-z