title: Locally recurrent subcutaneous and muscular hydatid cysts of the leg: an unusual case report.
abstract: We report a rare case of 50-year-old Moroccan woman with local recurrence of a subcutaneous hydatid cyst in proximity to the medial surface of the tibia and another cyst at the tibialis posterior muscle in the absence of liver, lung und spleen involvement. The first surgery was done in another hospital three years ago; no adjuvant treatment was performed after surgery. Recurrence was diagnosed according to the MRI appearance, serological and pathological findings. The patient underwent complete excision of the subcutaneous cyst with two centimeters of the medial gastrocnemius muscle; the tibialis posterior muscle cyst was intraoperatively drained and irrigated with scolicidal agent as it was next to the posterior tibial pedicle. A periopertive anthelmintic chemotherapy was administered. Two years after the patient showed no recurrence. This case report and literature review describe an approach to the diagnosis and management of this pathological entity.
authors.affiliation: Department of Traumatology, Hospital University Avicenna, University Mohammed V, Rabat, Morocco.
authors.forename: Redouane
authors.initials: R
authors.lastname: Ouakrim
authors.affiliation: Department of Traumatology, Hospital University Avicenna, University Mohammed V, Rabat, Morocco.
authors.forename: Zouhir
authors.initials: Z
authors.lastname: Amziane
authors.affiliation: Department of Traumatology, Hospital University Avicenna, University Mohammed V, Rabat, Morocco.
authors.forename: Ouchrif
authors.initials: O
authors.lastname: Younes
authors.affiliation: Department of Traumatology, Hospital University Avicenna, University Mohammed V, Rabat, Morocco.
authors.forename: Issam
authors.initials: I
authors.lastname: Eloukili
authors.affiliation: Department of Traumatology, Hospital University Avicenna, University Mohammed V, Rabat, Morocco.
authors.forename: Mohammed
authors.initials: M
authors.lastname: Kharmaz
authors.affiliation: Department of Traumatology, Hospital University Avicenna, University Mohammed V, Rabat, Morocco.
authors.forename: Moulay Omar
authors.initials: MO
authors.lastname: Lamrani
authors.affiliation: Department of Traumatology, Hospital University Avicenna, University Mohammed V, Rabat, Morocco.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Elbardouni
authors.affiliation: Department of Traumatology, Hospital University Avicenna, University Mohammed V, Rabat, Morocco.
authors.forename: Mustapha
authors.initials: M
authors.lastname: Mahfoud
authors.affiliation: Department of Traumatology, Hospital University Avicenna, University Mohammed V, Rabat, Morocco.
authors.forename: Berrada Mohammed
authors.initials: BM
authors.lastname: Saleh
mesh_terms: D000871:Anthelmintics / Q000008:administration & dosage*; D003131:Combined Modality Therapy; D004443:Echinococcosis / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D005260:Female; D006801:Humans; D007866:Leg / Q000469:parasitology* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000469:parasitology / Q000601:surgery; D012008:Recurrence
chemical_list: D000871:Anthelmintics
keywords: Recurrent; anthelmanthic chemotherapy; muscular hydatid cyst; radical excision; subcutaneous hydatid cyst