Subcutaneous Cysticercosis at Abdominal Wall: Case Report

복벽에 발생한 낭미충증 1례

  • Kim, Eui Sik (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School) ;
  • Park, Jeong Jun (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School) ;
  • Noh, Bok Kyun (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School) ;
  • Hwang, Jae Ha (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School) ;
  • Kim, Kwang Seog (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School) ;
  • Lee, Sam Yong (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School)
  • 김의식 (전남대학교 의과대학 성형외과학교실) ;
  • 박정준 (전남대학교 의과대학 성형외과학교실) ;
  • 노복균 (전남대학교 의과대학 성형외과학교실) ;
  • 황재하 (전남대학교 의과대학 성형외과학교실) ;
  • 김광석 (전남대학교 의과대학 성형외과학교실) ;
  • 이삼용 (전남대학교 의과대학 성형외과학교실)
  • Received : 2005.11.25
  • Published : 2006.03.10

Abstract

Human cysticercosis is an infestation with C. cellulosae, the larval stage of the tapeworm T. solium. It prevails in regions of poverty and where personal hygiene is poor. They can lodge in almost any tissue, but cysticerci are most frequently found in brain, skeletal muscle, subcutaneous tissues. We experienced a 41-year old male with $5{\times}12cm$ sized movable non tender brownish hard mass at lateral abdominal wall. The laboratory study didn't show any specific symptoms except peripheral blood eosinophilia and positive parasite ELISA screen for cysticercosis. The ultrasonogram revealed multiple ill-defined mixed echoic inflamatory lesion. Excisied cyst showed multiple severe foul-odor gelatinous subcutaneous mass. Microscopic examination disclosed necrotic body with foreign body reaction, massive eosinophilia and dead parasitic organism, compatible with cysticercosis. There was no evidence of recurrence during 12 months follow-up.

Keywords

References

  1. Willms K: Cestodes(Tapeworms). In Gorbach SL, Bartlett JG, Blacklow NR(eds): Infectious Disease. 2nd ed, Philadelphia, W.B. Saunders, 1998, p 2481
  2. Cho BK, Houh W, Shim SI, Lee CM: A Study on 657 Skin Tumors. Korean J Dermatol 11: 3, 1973
  3. Kim YP, Chun IK, Ha BS: Clinical and Epidemiological Studies of Cysticercosis. Korean J Dermatol 27: 521, 1989
  4. Raimer S, Wolf JE Jr: Subcutaneous cysticercosis. Arch Dermatol 114: 107, 1978 https://doi.org/10.1001/archderm.114.1.107
  5. Oh KK, Jeon TJ, Jeong WH: Cysticercosis of the Breast, Case Report. J Korean Radiol Soc 32: 835, 1995 https://doi.org/10.3348/jkrs.1995.32.5.835
  6. Chung MY, Oh IS, Suk SI, Lee SI, Sim JH: Human Cysticercosis in Subcutaneous Soft Tissues. J Korean Orthop Assoc 15: 452, 1980
  7. Yoon SH: Clinical observations of 45 Cases of Human Cysticercosis Developed in Subcutaneous Tissue. J Korean Surg Soc 9: 761, 1967
  8. Kim SC, Choi BO, Jeong YT, Lee SI, Shim JH: Surgical Treatment of Neurocysticercosis. Inje Medical Journal 13: 567, 1992