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Vol. 59. Issue 7.
Pages 451 (July 2023)
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Vol. 59. Issue 7.
Pages 451 (July 2023)
Clinical Image
Chest Wall Tuberculosis Mimicking Hydatid Cyst
Daniel Otero, Montserrat Blanco
Corresponding author
montseblancoramos@hotmail.com

Corresponding author.
, Eva García-Fontán
Thoracic Surgery Service, Hospital Álvaro Cunqueiro, Estrada de Clara Campoamor, 341, CP. 36213 Vigo, Spain

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Clinical Image
Chest Wall Tuberculosis Mimicking Hydatid Cyst
Daniel Otero, Montserrat Blanco
Corresponding author
montseblancoramos@hotmail.com

Corresponding author.
, Eva García-Fontán
Thoracic Surgery Service, Hospital Álvaro Cunqueiro, Estrada de Clara Campoamor, 341, CP. 36213 Vigo, Spain
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          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;a&#41; Tumour in the right posteriolateral chest wall without evidence of inflammation&#46; &#40;b&#41; Axial CT slice showing cystic-necrotic mass with extrapleural extension&#46; &#40;c&#41; Coronal MRI image showing the same lesion with small septums inside&#46;</p>"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We present the case of a 36-year-old woman&#44; who was referred&#44; for clinical rib pain of several weeks&#8217; development&#44; accompanied by a fixed and indurated tumour in the right posterolateral chest wall &#40;<a class="elsevierStyleCrossRef" href="#fig1">Fig&#46; 1</a>a&#41;&#46; We conducted a computed tomography&#44; which revealed a cystic-necrotic mass with involvement of the intermuscular plane and intrathoracic extension that presented an extrapleural soft tissue component and coarse calcifications &#40;<a class="elsevierStyleCrossRef" href="#fig1">Fig&#46; 1</a>b&#41;&#46; To better characterise the lesion&#44; we requested a magnetic resonance&#46; This revealed a encapsulated lesion with alteration of the signal of the musculature that suggested rupture of the lesion&#46; In T2 sequences&#44; we identified hypointense membranes suggestive of vesicles&#46; Rupture of a hydatid cyst was considered as a diagnostic possibility &#40;<a class="elsevierStyleCrossRef" href="#fig1">Fig&#46; 1</a>c&#41;&#46;</p><elsevierMultimedia ident="fig1"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Bearing these results in mind&#44; we decided to perform a diagnostic-therapeutic surgical intervention while taking the necessary preventive measures given the possible diagnosis of hydatid cyst rupture&#46; We performed a block resection including muscular planes along with the 8th and 9th right costal arches repairing the wall defect with a Goretex mesh&#46; The anatomopathological analysis revealed a 5<span class="elsevierStyleHsp" style=""></span>cm abscessed necrotising granulomatous inflammation&#44; affecting the soft tissues&#44; with the presence of acid-fast bacilli &#40;AFB&#41;&#44; and positive amplification for <span class="elsevierStyleItalic">Mycobacterium tuberculosis complex</span>&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Authors&#8217; contribution</span><p id="par0015" class="elsevierStylePara elsevierViewall">All authors have contributed intellectually to the case&#44; meet the conditions of authorship and have approved the final version of the case&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Funding</span><p id="par0020" class="elsevierStylePara elsevierViewall">There has been no funding or sponsorship for the publication of this article&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflict of interest</span><p id="par0025" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflict of interest&#46;</p></span></span>"
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Article information
ISSN: 03002896
Original language: English
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