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Öğe A Case of Perforated Retroperitoneal Appendicitis Mim icking Pyelonephritis(Emergency Medicine Physicians Assoc Turkey, 2024) Cankorkmaz, Levent; Salk, Ismail; Atalar, Mehmet H.; Koyluoglu, GokhanIntroduction: Appendicitis is one of the most commonly diagnosed surgical diseases in childhood with emergency abdominal pain. Retrocecal retroperitoneal appendicitis is uncommon and potentially difficult to diagnose. This condition might present with atypical clinical, and radiological signs. Here, we present a patient with perforated retrocecal appendicitis in whom the clinical findings mimicked acute pyelonephritis. Case Report: A 3-year-old boy presented with right flank pain, fever, and vomiting for two days. The abdomen was soft but the right costovertebral angle tenderness was positive. There was pyuria. The clinical impression was pyelonephritis. Ultrasonography showed perirenal fluid collection but did not show any collections pericecal area. In the Multi-detector CT (MDCT) MDCT a long inflamed retrocecal retroperitoneal appendix was seen with surrounding inflammation that extended to anterior pararenal space, and retroperitoneal air. At surgery, there was retrocecal retroperitoneal appendicitis with perforation and retroperitoneal collection. Appendectomy and drainage were performed. Conclusions: Patients with retroperitoneal appendicitis is that these patients often present with atypical and less severe abdominal complaints. In this situation, MDCT could be a rapid and efficient tool for localizing the appendix and for the differential diagnosis.Öğe A Coin Trapped in Meckel's Diverticulum(Bezmialem Vakif Univ, 2021) Cankorkmaz, LeventForeign body ingestion is a common problem among children. Most foreign bodies that have passed the esophagus will pass uneventfully through the intestinal tract. Foreign bodies that remain blocked in the narrower segments of the gastrointestinal tract require intervention. We herein report the case of a child who presented with a coin trapped in Meckel's diverticulum (MD). A 2-year-old boy was brought to our hospital 3 months after ingestion of coin. Physical examination showed no abdominal tenderness. Laboratory was normal. The foreign body appeared to be a coin located in the middle lower quadrant in the abdominal X-ray. Exploratory laparotomy was performed, and Meckel's diverticulum was discovered. The coin was detected in Meckel?'s diverticulum and it wedge resection were performed. After the operation, the patient had an uneventful recovery and started enteral feeding within 5 days. Early treatment of ingested foreign bodies in the gastrointestinal system is important in terms of preventing possible complications. The determination of the exact location of the coin, decision for intervention, and management may be difficult in cases with prolonged lodgment. The diagnosis of MD should be considered when there is a prolonged lodgment of a foreign body in the lower quadrant.Öğe A RARE CAUSE OF ACUTE ABDOMINAL PAIN: THE OMENTAL TORSION(Emergency Medicine Physicians Assoc Turkey, 2019) Cankorkmaz, Levent; Ozer, Hatice; Tekin, Yusuf KenanIntroduction: Omental torsion represents the rotation of the omentum on its long axis. It is a rare cause of acute abdominal pain and can mimic clinically many diseases. In this case report, a boy with omental torsion which was detected during laparotomy. Case report: We report a case of primary torsion in a nine-year-old boy who presented with abdominal pain on the right lower abdominal area. The abdominal pain was initially localized to right lower quadrant. Physical examination which revealed tenderness in the right lower quadrant. The patient did not have rebound tenderness. Ultrasonography findings were normal except minimal free fluid in abdomen. The patient had undergone laparotomy. Rotation of greater omentum was seen during operation. Appendectomy and partial omentectomy was performed. Conclusion: Typical symptom of acute appendicitis begin as periumbilical or epigastric pain migrating to the right lower quadrant of the abdomen. This pain migration is the most discriminating feature of the patient's history. Primary omental torsion should be kept in mind as an unusual cause of acute abdominal pain. Especially, if the patient's abdominal pain initial location right lower quadrant.Öğe A rare entity: Penile epidermoid cyst in a boy(Sivas Cumhuriyet University, 2021) Cankorkmaz, Levent; Eğilmez, ReyhanEpidermoid cysts (EC), is one of the common benign tumours presenting anywhere in the body. However penile EC is rare, even rarer in pediatric age group. There are usually congenital. EC result from the proliferation of epidermal cells within a circumscribed space of the dermis.A five-year-old boy presented with an asymptomatic, elastic swelling on the ventral surface of the penis near the corona for three years. The swelling was flesh-colored, subcutaneous, and freely movable within the dermis. He had no history of inflammation or any urinary symptoms. Rest of the genitals were normal. Excision of the cyst was performed under general anesthesia. The histopathology reported the swelling as an EC. No recurrence has been noted in the three year since excision.Penile EC can occur after minor surgical procedure like circumcision. The condition needs to be treated with total surgical excision in case it occurs.Öğe Acute appendicitis coexisting with Meckel's diverticulitis: case report(GALENOS YAYINCILIK, 2010) Cankorkmaz, Levent; Ozer, Hatice; Cakar, Murat; Koyluoglu, GokhanWe present here a case with acute appendicitis and Meckel's diverticulitis which was clinically diagnosed as acute abdomen preoperatively. An eleven-year-old boy was found to have Meckel's diverticulitis coexisting with acute appendicitis. Although appendicitis coexisting with Meckel's diverticulitis is extremely rare, we suggest that the surgeon must bear it in mind during an acute appendicitis operation. If the surgeon overlooks it, the patient undergoing surgery may experience grave consequences. (Turk Arch Ped 2010; 45: 371-2)Öğe Age distribution of mandibular fractures and concomitant injuries(Springer, 2022) Derebasinlioglu, Handan; Cankorkmaz, LeventBackground Facial fractures can be accompanied by various injuries to other parts of the body. These associated and concomitant injuries worsen the prognosis of facial trauma, as they may cause functional disabilities or mortality. The aim of this study was to evaluate the distribution and features of mandibular fractures and concomitant injuries according to the age group. Methods Patients who underwent surgery for mandibular fracture were retrospectively screened from the hospital information system. The patients' age, sex, etiology of injury, and any non-mandibular facial and skull fractures and concomitant injuries were evaluated. Results A total of 141 patients were included. The patients ranged in age from 1 to 76 years with a mean (SD) age of 29.06 (16.47) years. Only dentoalveolar arch fractures differed according to age (p = 0.036). The prevalence of dentoalveolar arch fractures was significantly higher in patients under 18 years of age than in patients between 18 and 59 years of age. There were no statistically significant differences in rates of concomitant facial, skull fractures, or other body injuries according to age (p > 0.05). Conclusions Despite the physiological and anatomical differences between the pediatric and adult patients, they did not make any difference in terms of mandible fractures and injuries concomitant with these fractures.Öğe Alterations in spontaneous contractions of rat proximal and distal colon after peritonitis(W B SAUNDERS CO-ELSEVIER INC, 2007) Yildiz, Turan; Koyluoglu, Gokhan; Bagcivan, Ihsan; Kaya, Tijen; Karadas, Bans; Sarac, Buelent; Cankorkmaz, LeventBackground/ Purpose: The aim of this study was to investigate the effect of peritonitis on spontaneous contractions of distal and proximal colon smooth muscle isolated from rats. Methods: Peritonitis was induced by cecal ligation and puncture in 8 rats. Another group of 8 rats : underwent a sham operation and acted as controls. Twenty-four hours after the operation, the rats were killed; and their distal and proximal colon smooth muscle was excised and placed in circular muscle direction in a 10-mL organ bath. Changes in the amplitude and frequency of contractions were analyzed before and after the addition of antagonists. Results: Peritonitis induced the increase in the amplitude and frequency of spontaneous contractions. In both distal and proximal colon of the control group, the amplitude of spontaneous contractions was elevated by N-G -nitro-L-arginine and tetradotoxin; but the frequency of spontaneous contractions was significantly elevated only in the presence of N-G-nitro-L-arginine. In both distal and proximal colon of the peritonitis group, the enhanced amplitude and frequency were significantly decreased and returned to control values in the presence of celecoxib. Conclusions: Peritonitis induces the increase in the amplitude and frequency of spontaneous contractions of distal and proximal colon, which can be attributed to a loss of inhibitor nitrergic and other neural control or rise of cyclooxygenase-2 levels. (c) 2007 Elsevier Inc. All rights reserved.Öğe Amyand's hernia in the children: A single center experience(MOSBY-ELSEVIER, 2010) Cankorkmaz, Levent; Ozer, Hatice; Guney, Cengiz; Atalar, Mehmet H.; Arslan, Mehmet S.; Koyluoglu, GokhanBackground. The presence of a vermiform appendix in an inguinal hernial sac is termed Amyand's hernia. It may present as a tender inguinal or inguinoscrotal swelling, and it is often misdiagnosed as an incarcerated or strangulated hernia. Methods. Between 1998 and 2006, we have managed 564 patients with acute appendicitis, 1, 090 patients with inguinal hernia, 33 patients with incarcerated. inguinal hernia, and 12 patients with Amyand's hernia on our pediatric surgery service. A retrospective analysis of clinical data of these patients with Amyand's hernia was performed. Results. All patients with Amyand's hernia were boys with a median. age of 40 days (range, 15 days-14 months). One patient's condition was diagnosed pre-operatively. All of them, therefore, underwent emergency operation with a presumptive diagnosis of either incarcerated or strangulated inguinal hernia. Operative findings included 2 normal appendices, 6 inflamed appendices, and 4 appendices with external signs of serosal inflamation of uncertain significance in the inguinal hernial sac. Two patients with a normal appendix had hernia repair without an appendectomy. The other 10 patients with an abnormal appendix underwent an emergency open appendectomy with repair of the inguinal hernia. None of the patients developed recurrent hernia. The median postoperative follow-up period was 2.5 years. Conclusion. In pediatric patients with Amyand's hernia, the inflammatory status of the appendix can be used to determine the type of hernia repair and the operative approach. Incidental appendectomy in the case of a normal appendix is not favored by us. Treatment includes appendectomy (via the hernia sac) and hernia repair in children with an inflamed appendix. (Surgery 2010;147:140-3.)Öğe An interesting journey of a grass inflorescence from broncho to dorsum: case report(Turkish Assoc Tuberculosis & Thorax, 2010) Cankorkmaz, Levent; Koyluoglu, Gokhan; Atalar, Mehmet H.; Guney, Cengiz; Arslan, Mehmet S.An interesting journey of a grass inflorescence from broncho to dorsum: case report A 15-years-old male was presented with hyperemic and painful right flank mass. His medical history was consisted of a treatment for pneumonia and hemoptysia in the other hospital five months ago. Diagnostic X-rays was showed consolidation in the posterobasal segment of right pulmoner lobe and abscess in the paravertebral muscle extending from L4-5 level. The patient was discharged after antibiotic treatment. At the second hospitalization, a grass inflorescence was discharged from the fistula. When the patient was reevaluated his history was consisted of the aspiration of a grass inflorescence eight months ago. To our knowledge, this patient represents the first case of penetration by a grass inflorescence migrated out of the lomber region.Öğe Analysis of a 1-year-old cystinuric patient with recurrent renal stones(BLACKWELL PUBLISHING, 2006) Tanzer, Fatos; Ozgur, Arzu; Bardakci, Fevzi; Cankorkmaz, Levent; Ayan, SemihCystinuria is a hereditary disorder of cystine and dibasic amino acids (lysine, arginine, ornithine) transport across the luminal membrane of renal tubules and intestine, resulting in recurrent nephrolithiasis. Cystine stones frequently occur in the second or third decade of life with an occasional occurrence in infancy and in old age. Herein is presented the case of a 1-year-old girl with cystinuria and recurrent urolithiasis; the genetic basis of the disease was investigated by mutational analysis of the SLC3A1 gene. The data show that the present patient has an increased cystine (923.08 mu g/mL) level and was heterozygote for M467T mutation.Öğe Case Report: Isolated Renal Hydatid Cyst in a Boy(Galenos Publishing House, 2019) Cankorkmaz, Levent; Korğalı, Esat; Atalar, Mehmet Haydar; Köylüoğlu, GökhanHydatic cyst is a crucial and prevalent parasitic disease in the developing countries in the Mediterranean region. Its diagnosis is sometimes problematic because of non-specific complaints and unavailability of any positive results in a routine laboratory analysis. Isolated renal hydatid cysts are very rare. In this study, a primary left renal hydatid cyst which was found in a 12-year-old boy was presented. He was referred by another hospital to our department with a flank pain and cystic mass in left kidney. Indirect haemagglutination test (IHA) for Echinococcus was negative. Nephrectomy was performed with the diagnosis of renal cyst hydatic. Renal cyst hydatid may present with various clinical findings ranging from asymptomatic clinical course to total loss in renal function. It will be beneficial to consider a renal hydatid cyst in patients with blurred flank pain, even if IHA is negative. © Telif hakkı 2019 Türkiye Parazitoloji Derneği-Makale.Öğe Children with corrosive esophageal burns and esophagoscopy(2009) Cankorkmaz, Levent; Koyluoglu, Gökhan; Güney, CengizAim: Accidental ingestion of corrosive materials remains a significant problem in the pediatric population. Ingested corrosive agents produce esophageal injuries ranging from minor burns to severe necrosis. The aim of this study was to discuss our patients who were treated for corrosive material ingestion and necessity of the esophagoscopy. Materials and Methods: Patients with a history of corrosive agent ingestion who were followed up in our Pediatric Surgery clinic between January 2000 and March 2007 were analyzed retrospectively. Results: Among total of 394 cases affected by corrosives, 62.2 % were males, 37.8 % were females with a mean age was 3.98±3.0 (6 months-16 years, ±3.0) years. Household bleaches (43.6 %), fat solvents (25.4 %) and hydrochloric acid (24.1 %) were the most frequently encountered corrosive agents. In 46.6 % of the cases, no pathologies have been detected in esophagoscopy. There were esophageal strictures in four cases, and esophageal and gastric perforation developed in one case. None of the children who ingested household bleaches developed esophageal strictures All of our cases consisted of children who ingested caustic agents inadvertently. Conclusion: Based on our study, we believe that, since household bleaches do not lead to esophageal strictures, .early esophagoscopy appears to be an unnecessary intervention in a child who ingested household bleaches accidentally.Öğe Comparison of ischemic preconditioning and BotulinumA Toxin injection for the prevention of ischemia-reperfusion injury in musculocutaneous flaps(Tubitak Scientific & Technological Research Council Turkey, 2020) Derebasinloglu, Handan; Demiroz, Anil; Aydin, Yagmur; Ekmekci, Hakan; Ekmekci, Ozlem Balci; Aydin, Ovgu; Cankorkmaz, LeventBackground/aim: The aim of the study was to evaluate the protective effect of Botulinum A toxin injection against ischemia-reperfusion injury. Materials and methods: Thirty-two Sprague-Dawley rats were divided into: control, ischemia-reperfusion, ischemic preconditioning, and botulinum groups. In all groups the musculocutaneous pedicle flap was occluded for 4 h, and then reperfused to induce ischemiareperfusion injury. Serum and tissue myeloperoxidase (MPO) and nitric oxide (NO) levels were measured at 24 h and at 10 days. Results: Tissue MPO levels did not differ significantly between the ischemic preconditioning and botulinum groups at 24 h but was significantly lower in the botulinum group at 10 days. Tissue NO levels were significantly higher in the ischemic preconditioning group compared to the botulinum group at 24 h and at 10 days. Serum MPO showed no significant difference between these two groups at 24 h but was significantly lower in the ischemic preconditioning group compared to the botulinum group at 10 days. Serum NO levels were not significantly different at 24 h but significantly higher in the botulinum group at 10 days. Conclusion: Findings show that botulinum has a protective effect against the ischemia-reperfusion injury via increased NO and decreased MPO levels in tissue. Based on tissue NO levels, ischemic preconditioning was significantly higher than botulinum.Öğe Cystinuria: Cause of renal stones in a one-year-old girl(2005) Özgür, Arzu; Tanzer, Fatoş; Cankorkmaz, Levent; Köylüo?lu, GökhanCytinuria is an inherited disorder of cystine and dibasic amino acids involving renal and intestinal transport mechanisms. The only clinical manifestation of this disease is the development of urinary tract cystine stones. Cystine stones frequently occur in the second or third decade of life, with an occasional occurrence in infancy and in old age. In this article, a one-year old girl with cystinuria and urolithiasis is presented. This infant was hospitalized because of body trauma. Ultrasound examination revealed an unexpected finding of kidney multiple stones in the right kidney. A positive cyanide - nitroprusside test suggested cystinuria as a cause of nephrolithiasis. We studiet M467T and M467K mutations (exon 8) in rBAT gene and 231T/A polymorphism (exon 1). Our patient was heterozygous for the M467T mutations. We emphasize the significance of treatment in recurrent stones.Öğe Deneysel tek taraflı testis torsiyonunda oluşan karşı testis hasarının etiyolojisinde apoptozisin rolü ve karnitinin koruyucu etkisi(Cumhuriyet Üniversitesi, 2003) Cankorkmaz, Levent; Köylüoğlu, GökhanIV ÖZET Tek taraflı testis torsiyonuna bağlı karşı testiste oluşan hasarının mekanizmasını açıklamaya ve hasan önlemeye yönelik pek çok araştırma mevcuttur. Biz de, ratlarda oluşturulan deneysel tek taraflı testis torsiyonu modelinde, karşı testis hasarının etiyolojisinde programlanmış hücre ölümü (PHÖ)'nün rolü ve kamitinin koruyucu etkisini inceledik. Bu amaçla, araştırmamızda ağırlıkları 180-220 gr arasında değişen 36 adet Wistar albino rat kutlanıldı. Ratlar altışarlı, altı gruba ayrıldılar. Sham ve kontrol grupları dışındaki ratların hepsinin sol testisleri intraperitoneal (İP), Ketamin HCI ve Xylasine Hydrochlorid anestezisi altında ve steril koşullarda 720° saat yönünde torsiyone edildi. Deney grupları kontrol, sham, 6 ve 24 saatlik torsiyon-detorsiyon ile 6 ve 24 saatlik torsiyon-detorsiyon-karnitin olarak oluşturuldu. Tedavi gruplarına, detorsiyondan bir saat önce 100 mg/kg dozunda İP karnitin verildi. Detorsiyondan bir hafta sonra karşı testislere orşiektomi yapıldı. Alınan testisler Johnsen biopsi skorları, seminifer tübül çapları ve malonildialdehit (MDA) oranları açısından incelendi. PHÖ oranları ise immun floresans ve DNA agaroz gel elektroforezi ile saptandı. Çıkan sonuçlar Mann-Whitney U testi ile istatistiksel olarak değerlendirildi. Yapılan incelemeler sonucunda, kontrol ve sham grubu arasında farklılık saptanmadı. 6 ve 24 saatlik torsiyon-detorsiyon grubundaki PHÖ oranları, sham grubuna göre belirgin olarak yüksek bulundu. 24 saatlik torsiyon-detorsiyon grubunda bu artışlar daha belirgindi. Karnitinin koruyucu etkisi 24 saatlik torsiyon grubunda anlamlı bulunurken 6 saatlik grupta farklılık saptanmadı. Sonuç olarak tek taraflı testis torsiyonu modelinde karşı testiste torsiyon süresiyle paralel olarak artan PHÖ görülmektedir. Gelişen bu hasar ise detorsiyon öncesi verilen karnitin tedavisi ile azaltabilmektedir. Anahtar kelimeler: Programlanmış hücre ölümü (PHÖ), karşı testis, karnitin, testiküler torsiyon.Öğe Diaphragmatic Mesothelial Cyst And Percutaneous Ethanol Sclerotherapy: In A Young Girl(Sivas Cumhuriyet Üniversitesi, 2024) Cankorkmaz, Levent; Şalk, İsmail; Atalar, MehmetDiaphragmatic mesothelial cysts are rare congenital lesions that are lined with mesothelial cells. The diagnosis might be problematic because of their rarity and anatomic location. We report a case of with a diaphragmatic cyst in a 6–year–old girl. In this case, the cyst was found incidentally. We found a thin-wall, homogeneous cyst, which was between the lateral aspects of the liver and diaphragm with radiological imaging. The patient was planned for cyst aspiration and ethanol sclerotherapy was made based on the imaging findings. The cyst was aspirated and then performed ethanol sclerotherapy. The cytological findings of the cyst fluid were appeared to be degenerated histiocytes and mesothelial cells. If treatment is needed, percutaneous treatment is conceivable as the first choice of technique.Öğe Ender Bir Olgu: Bir Bebekte İki Taraflı Abdominoskrotal Hidrosele Bağlı İki Taraflı Hidronefroz(2020) Cankorkmaz, Levent; Atalar, Mehmet Haydar; Şalk, İsmail; Köylüoğlu, GökhanAbdominoskrotal hidrosel 1834 yılında Dupuytren tarafından tanımlanan ender görülen bir patolojidir. Abdominoskrotal hidroselin etiyolojisi tam olarak aydınlatılamamıştır. Abdominoskrotal hidrosele bağlı ender görülen komplikasyonlardan bazıları, tunika vajinalis malign mezotelyoma, hidroüreter/hidronefroz, testiküler düzleşmedir. Bu makalede, iki taraflı abdominoskrotal hidrosel basısına ikincil, iki taraflı hidronefroz saptanan yedi aylık bir erkek hasta sunulmaktadır. Hastaya iki taraflı hidroselektomi gerçekleştirildi. Postoperatif seyir sorunsuz geçti. Ameliyattan altı ay sonra yapılan renal ultrasonografi normaldi. Bu patoloji çok ender olsa da, çocuklardaki alt karın kitlelerinin ayırıcı tanısı ve hidronefroz nedeni olarak akılda tutulmalıdır. Cerrahi olarak çıkartıldıktan sonra, genellikle hidronefroz gerilemesi de dâhil, iyileşme tamdır.Öğe Evaluation of the child trauma cases applied to our university hospital department of emergency(AVES, 2011) Dogan, Zeki; Guven, Fatma Mutlu Kukul; Cankorkmaz, Levent; Korkmaz, Ilhan; Coskun, Abuzer; Doles, Kenan AhmetAim: Trauma is the major mortality cause in pediatric patients living in developed countries. The aim of this study was to evaluate the child trauma cases who were admitted to our emergency unit. Material and Method: Study data was obtained as a result of a retrospective review of the files of child trauma cases admitted to our emergency department between January 2006-December 2007. The child trauma cases were evaluated in terms of age, sex, application time, type of trauma, injury type, radiological findings and hospitalization rates. Results: Within age range 0-16 years, accessed records of 1293 trauma cases that admitted to the emergency deparment were 69% male, 31% female. Most of the applications were in August. Among the causes of injury, at the primary ordinal were falling down/crash into the flat. Out of vehicle traffic accidents were the fastest group who admitted to the emergency department. Within overall trauma types, rate of trauma exposure with 43.8% was the highest in 2-6 ages. In the exposed areas of injury, head zone with 42% took part in the first ordinal. Conclusions: In this study; we wanted to draw attention to the problem of trauma highlighting some features of pediatric injuries in our country. (Turk Arch Ped 2011; 46: 164-7)Öğe General Practitioner Knowledge Levels About Circumcision(AVES YAYINCILIK, 2011) Cankorkmaz, Levent; Cetinkaya, Selma; Koyluoglu, GokhanObjective: This study was carried out to investigate knowledge levels of general practitioners and their thoughts about circumcision in Middle Anatolia. Materials and Methods: This descriptive and cross-sectional study was carried out with 247 general practitioners working in Sivas. A questionnaire was prepared by the authors using previous reports. Questionnaires were sent to subjects by post. One hundred and seventy eight general practitioners (57 women, 121 men) responded and were included in the study. For statistical analysis, Chi-square test was used and p < 0.05 value was accepted as significant. Results: 42.1% of subjects believed that circumcision should be performed between 2 and 6 years of age. 2.2% of subjects declared that circumcision could be done at home and 7.3% believed that the location of the operation is not important. 9.6% of subjects believed that the person who performs the circumcision does not have to be a doctor. 21.3% of subjects believed that circumcision could be performed without anesthesia during the newborn period because of undeveloped pain sensation. Conclusion: This study demonstrated that general practitioners, who are the most easily accessible health staff for information about health, do not have updated information about the way to perform circumcision and its necessity. Therefore, it is concluded that education programs about circumcision for general practitioners must be continued and updated.Öğe Intermuscular hydatid cyst in a 4-year-old child: a case report(W B SAUNDERS CO-ELSEVIER INC, 2007) Cankorkmaz, Levent; Ozturk, Hayati; Koyluoglu, Gokhan; Atalar, Mehmet H.; Arslan, M. SerifHuman Echinococcus infection still remains an important health problem in endemic regions. Primary musculoskeletal Echinococcus infection is very rare without involving the thoracic and abdominal organs. There has been no reported case of intermuscular hydatid cyst in the very early ages of childhood. Here we report a case of a 4-year-old girl with a primary intermuscular hydatid cyst in the left thigh. It was localized between the adductor muscles and iliopsoas muscle. It was removed without destroying the cyst wall and there were no complications. Hydatid cyst should be considered especially in the endemic areas when evaluating cystic masses. Hydatid cyst can be treated by operation. (c) 2007 Elsevier Inc. All rights reserved.
