Author/Authors :
Sadeghi Mehdi نويسنده , Karami Mehdi نويسنده , Sarrami Amir Hossein نويسنده Medical Students’ Research Center, Isfahan University of Medical Sciences, Isfahan , Haddad Behzad نويسنده Department of Surgery, Alzahra Hospital, Isfahan
University of Medical Sciences, Isfahan, IR Iran
Abstract :
Background Cystic echinococcosis of soft tissue is rare even in
endemic areas. Intermuscular and intramuscular cystic echinococcoses
have been occasionally reported in the literature. Case Presentation A
40-year-old male was referred to the surgery clinic of Alzahra Hospital,
Isfahan, Iran, with a swelling over the right side of his chest in
September 2015. In physical examination, a nontender soft bulging in
depth of the right pectoralis major muscle with no skin manifestation
was noticeable. The axial and coronal contrast-enhanced CT scan showed a
multicystic mass lesion between the right pectoralis major and minor
muscles with extension beneath the pectoralis minor muscle. The patient
underwent a surgery for resection of the mass. After dissection of the
pectoralis major fascia, a large cystic mass was visualized just beneath
the muscle with some adhesion to the chest wall. Histopatholgic study of
the surgical specimen also revealed cystic echinococcosis. Conclusions
This case reveals that cystic echinococcosis should be considered in
differential diagnoses of any chest wall swelling.
