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CC BY 4.0 · Avicenna J Med 2024; 14(03): 179-181
DOI: 10.1055/s-0044-1788773
Case Report

Treatment of a Large Gluteal Hydatid Cyst in Syria Using a Manual Negative Pressure Wound Therapy Device (PragmaVAC)

M. Netfagi 
1   Department of Surgery, Rahma Darkoush Hospital, Darkoush, Syria
,
H. Alshaer
2   Pragmatic Innovation Inc, Mississauga-Toronto, Ontario, Canada
,
A. Abbara
3   Imperial College, London, United Kingdom
,
M. Hariri
4   Department of Education, Syrian Board of Medical Specialties, Gaziantep, Turkey
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Abstract

The lungs and liver are the most common sites of hydatid cysts, but they may also be found in other organs. We report the case of a lady in her 50s who presented to a hospital in northwest Syria with a large swelling in the right gluteal region. This was diagnosed as a gluteal abscess, and an incision and drainage were performed. Intraoperatively, a hydatid cyst germinal membrane was noted. She had the required imaging to exclude other cysts, which revealed a liver hydatid cyst of 7.5 cm, which was treated with PAIR (puncture, aspiration, injection, and re-aspiration) and albendazole. The residual wound was closed using a manual vacuum-assisted closure (VAC) pump for seven days. A key lesson is that a hydatid cyst in the gluteal muscles, though rare, should be considered in the differential diagnosis. We also show that the innovative use of a manual VAC pump can be used to support closure of large hydatid cyst cavities in muscles.

Keywords

hydatid disease - Syria - innovation - gluteal abscess - VAC pump

Authors' Contribution

M.N. wrote the first draft of the manuscript and M.N., M.H., H.A., and A.A. contributed to the reviews and revisions of the manuscript.


Ethical Approval and Consent to Participate

The patient has provided a signed consent form and has agreed for the relevant images to be used. We have anonymized the case report, photographs, and radiology as much as possible.


Consent for Publication

All the authors gave their consent for this case report to be published. The patient gave their consent for publication of this case report.




Publication History

Article published online:
25 September 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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