One case of subcutaneous human sparganosis disease of thigh misdiagnosed as lipoma

VernacularTitle:大腿皮下裂头蚴病误诊为脂肪瘤1例
Author: Zhou LIN ¹ ; Yuqing WEN ; Liqin FU ; Yanping ZHANG ; Qingxia CHEN
Author Information

1. 福建医科大学附属龙岩第一医院烧伤整形与创面修复外科，龙岩　364000
Keywords: Sparganosis; Lipoma; Subcutaneous of thigh; Misdiagnosis
From: Chinese Journal of Plastic Surgery 2023;39(7):778-781
CountryChina
Language:Chinese
Abstract: Human sparganosis is a rare parasitic disease. Pleroceroid can infiltrate brain, mammary gland and other organs, with a high misdiagnosis rate. A case of subcutaneous sparganosis disease of thigh was diagnosed and treated in the Burn, Plastic Surgery and wound Repair Department of Longyan First Hospital Affiliated of Fujian Medical University in January 2022. The patient was followed up for lipoma in other hospitals for many times with no clinical treatment. Combined with the medical history and characteristic of the mass, we also treated the mass as "lipoma" and surgical resection was performed in author’s hospital. Live worms were found intraoperatively, and finally confirmed as pleroceroid by pathology and expert consultation. No local recurrence was found in 6 months of follow-up. In order to reduce the misdiagnosis rate of the disease, the diagnosis and treatment methods were reviewed and discussed. This case may provide more clinical experience for the prevention and treatment of the disease.