Subcutaneous Cysticercosis at Abdominal Wall: Case Report.

Kim, Eui Sik; Park, Jeong Jun; Noh, Bok Kyun; Hwang, Jae Ha; Kim, Kwang Seog; Lee, Sam Yong

Case Report

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2006;33(2):249-251.
Published online March 1, 2006.

Subcutaneous Cysticercosis at Abdominal Wall: Case Report.

Eui Sik Kim, Jeong Jun Park, Bok Kyun Noh, Jae Ha Hwang, Kwang Seog Kim, Sam Yong Lee

Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School, Gwangju, Korea. pskes@chol.com

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 x 12 cm 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: Subcutaneous cysticercosis; Taenia solium