caa a22 4500 475753178 CHVBK 20180406123530.0 cr unu---uuuuu 170329e20001001xx s 000 0 eng 10.1007/s005950070052 doi (NATIONALLICENCE)springer-10.1007/s005950070052 Musculoskeletal and Adipose tissue hydatidosis based on the iatrogenic spreading of cystic fluid during surgery: Report of a case [Elektronische Daten] [Luigi Iuliano, Angela Gurgo, Elisabetta Polettini, Gianfranco Gualdi, Paolo De Marzio] Hydatidosis or echinococcosis is a parasitic disease caused byEchinococcus granulosus orE. multilocularis, which forms cysts in the liver and lung after penetrating the duodenal mucosa and entering the portal circulation. The liver and lung act as a filter but some embryos enter the general circulation and disseminate throughout the body. Muscoloskeletal involvement is a rare manifestation of hydatidosis, which is usually reported to affect a single muscle. We report here a rare case of a 68-year-old man with widespread hydatidosis of the retroperitoneum and the subcutaneous adipose tissue, and with multiple muscle involvement in the absence of liver, lung, and spleen involvement. The patient underwent surgical excision of a subcutaneous hydatid cyst 7 years earlier. It is likely that the large dissemination of parasites resulted from accidental rupture of the primary focus during surgery with consequent release and spreading of scolices via lymphatics. Springer-Verlag, 2000 Hydatidosis nationallicence Parasitosis nationallicence Iuliano Luigi Institute of Clinical Medicine I, University "La Sapienza”, 00185, Rome, Italy aut Gurgo Angela Institute of Clinical Medicine I, University "La Sapienza”, 00185, Rome, Italy aut Polettini Elisabetta Institute of Clinical Medicine I, University "La Sapienza”, 00185, Rome, Italy aut Gualdi Gianfranco Institute of Clinical Medicine I, University "La Sapienza”, 00185, Rome, Italy aut De Marzio Paolo Institute of Clinical Medicine I, University "La Sapienza”, 00185, Rome, Italy aut Surgery Today Springer-Verlag 30/10(2000-10-01), 947-949 0941-1291 30:10<947 2000 30 595 https://doi.org/10.1007/s005950070052 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s005950070052 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Iuliano Luigi Institute of Clinical Medicine I, University "La Sapienza”, 00185, Rome, Italy aut NATIONALLICENCE 700 1- Gurgo Angela Institute of Clinical Medicine I, University "La Sapienza”, 00185, Rome, Italy aut NATIONALLICENCE 700 1- Polettini Elisabetta Institute of Clinical Medicine I, University "La Sapienza”, 00185, Rome, Italy aut NATIONALLICENCE 700 1- Gualdi Gianfranco Institute of Clinical Medicine I, University "La Sapienza”, 00185, Rome, Italy aut NATIONALLICENCE 700 1- De Marzio Paolo Institute of Clinical Medicine I, University "La Sapienza”, 00185, Rome, Italy aut NATIONALLICENCE 773 0- Surgery Today Springer-Verlag 30/10(2000-10-01), 947-949 0941-1291 30:10<947 2000 30 595 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer