Bentouati Abdelkader²*, Khalifa Samia¹, Bereksi-Reguig Faiza², Belbachir Boutheyna¹, Brizini Aisha³ and Bettahar Abdellah⁴

¹Department of Anatomy Pathological, "1st November 1954" University Hospital of Oran, University of Oran 1 - Ahmed Ben Bella, Faculty of Medicine, Algeria
²Department of Medical Oncology, "1st November 1954" University Hospital of Oran, University of Oran 1 - Ahmed Ben Bella, Faculty of Medicine, Algeria
³Liberal Pathologist, Relizane, Algeria
⁴Private General Surgeon, Relizane, Algeria

*Corresponding Author: Bentouati Abdelkader, Department of Medical Oncology, "1st November 1954" University Hospital of Oran, University of Oran 1 - Ahmed Ben Bella, Faculty of Medicine, Algeria.

Received: April 23, 2025; Published: May 16, 2025

Abstract

Hydatid cyst (HC), or hydatidosis, caused by Echinococcus granulosus, is a parasitic anthropozoonosis representing a major public health problem, particularly in rural livestock farming areas. While the liver and lungs are the most common sites, rare localizations exist. Skeletal muscle involvement, the focus of this study, is unusual (1-5% of cases). We report a case of primary muscular HC of the quadriceps in a 14-year-old girl and provide a literature review of this entity. Symptomatology is often subtle (pain, swelling) and presents late. Diagnosis is suspected based on imaging (ultrasound, MRI) and confirmed by postoperative histopathological examination. Muscle is considered an unfavorable environment for larval development (contractility, lactic acid). The standard treatment is complete surgical resection (pericystectomy without rupture). Perioperative medical treatment with Albendazole is often associated to reduce the risk of recurrence. Prevention remains essential for controlling this parasitic endemic disease.

Keywords: Hydatid Cyst; Muscle; Echinococcus granulosus; Quadriceps; Soft Tissue Mass; Parasitic Disease

References

1. Agoumi A. “Précis de parasitologie médicale”. Collection MEDIKA. Casablanca: Horizons Internationales; (2003): 131-140.
2. Amar MF., et al. “Kyste hydatique primitif de la cuisse révélé par une cruralgie. À propos d’un cas [Primary hydatid cyst of the thigh revealed by cruralgia. A case report]”. Journal of Sports Traumatology 3 (2010): 146-148.
3. Jerbi Omezzine S., et al. “Kyste hydatique primitif de la cuisse. Une localisation rare [Primary hydatid cyst of the thigh. A rare localization]”. Revue de Chirurgie Orthopedique et Reparatrice 8 (2010): 901-904.
4. Soufi M., et al. “Kyste hydatique du psoas: à propos de deux cas [Hydatid cyst of the psoas: report of two cases]”. Journal of Radiology12 (2010): 1292-1294.
5. Abdellaoui H and Bouabdallah Y. “Enucleation of a hydatid cyst of the psoas muscle in a child”. Pan African Medical Journal 18 (2014): 218.
6. Garcia-Diez AI., et al. “MRI evaluation of soft tissue hydatid disease”. European Radiology 3 (2000): 462-466.
7. Memis A., et al. “Primary soft tissue hydatid disease: report of two cases with MRI characteristics”. European Radiology 6 (1999): 1101-1103.
8. Durakbasa MO., et al. “A primary hydatid cyst of the gracilis: a case report”. Journal of Orthopaedic Surgery (Hong Kong)1 (2007): 118-120.
9. El Malki HO., et al. “Kyste hydatique du muscle psoas [Hydatid cyst of the psoas muscle]”. Cah Sante3 (2007): 177-179.
10. Rafaoui A., et al. “Primary hydatic cyst in a bodybuilder's thigh. Case report and review of the literature”. Pan African Medical Journal 25 (2016): 53.
11. Ormeci N., et al. “Hydatid cysts in muscle: a modified percutaneous treatment approach”. International Journal of Infectious Diseases3 (2007): 204-208.
12. Guthrie JA., et al. “Case report: the MR appearances of primary intramuscular hydatid disease”. Clinical Radiology 5 (1996): 377-379.
13. Alouini Mekki R., et al. “Kyste hydatique des tissus mous : apport de l’IRM (A propos de trois observations) [Hydatid cyst of soft tissues: contribution of MRI (report of three cases)]”. Journal of Radiology4 (2005): 421-425.
14. Veller M., et al. “Recurrent primary hydatidosis of Sartorius muscle”. Acta Chirurgica Scandinavica 7-8 (1988): 535-536.
15. Ben M’Rad S., et al. “Hydatidose multiple de la cuisse : place de l’imagerie par résonance magnétique [Multiple hydatidosis of the thigh: role of magnetic resonance imaging]”. Journal of Radiology10 (1998): 877-879.
16. El Moussaoui A., et al. “Hydatid cyst of the psoas muscle. A propos of a case”. Annals of Urology (Paris)6 (1997): 357-360.
17. Argy N., et al. “Primary musculoskeletal hydatid cyst of the thigh: Diagnostic and curative challenge for an unusual localization”. Orthopaedics and Traumatology: Surgery and Research 1 (2018): 123-127.
18. McManus DP., et al. “Diagnosis, treatment, and management of echinococcosis”. BMJ 344 (2012): e3866.
19. Rask MR and Lattig GJ. “Primary intramuscular hydatidosis of the sartorius. Report of a case”. Journal of Bone and Joint Surgery: American 3 (1970): 582-584.
20. Alaoui I., et al. “Kyste hydatique du muscle psoas: à propos d’un cas [Hydatid cyst of the psoas muscle: a case report]”. Pan African Medical Journal 24 (2016): 302.
21. Ait lahcen A., et al. “Hydatidose Musculaire Périphérique : Particularités Diagnostiques Et Thérapeutiques. A Propos De 5 Cas Et Revue De La Littérature”. Rev Maroc Chir Orthop Traumatol. 68 (2017).
22. Thaunat O and Priollet P. “Hydatidose hépatique [Hepatic hydatidosis]”. Presse Medicine1 (2004): 30-34.

Citation

Citation: Bentouati Abdelkader., et al. “Muscular Hydatid Cyst: Report of a Rare Case in the Quadriceps and Literature Review". Acta Scientific Clinical Case Reports 6.6 (2025): 14-18

Copyright

Copyright: © 2025 Bentouati Abdelkader., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.