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CASE REPORT
Year : 2011  |  Volume : 23  |  Issue : 3  |  Page : 241-244

Primary Sonographic Diagnosis of Subcutaneous Cysticercosis


1 Department of Oral Medicine and Radiology, AECS Maaruti College of Dental Sciences, Bengaluru, Karnataka, India
2 Department of Oral Medicine and Radiology, Institute of Dental Sciences, Bengaluru, Karnataka, India

Correspondence Address:
M E Shivu
C/o Dental Way, 46, Sai-Vedanth Complex, Muneshwara Nagar, 80 Feet Road, Padmanabhanagar Bengaluru-560061, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.5005/jp-journals-10011-1137

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We present the case of a 40-year-old woman with a small diffuse swelling on the left side of her face. She was diagnosed with intramuscular cysticercosis in the masseter muscle (case of disseminated cysticercosis involving the muscular system and subcutaneous tissues) with surrounding phlegmon on high-resolution ultrasound and managed conservatively. To our knowledge, the imaging findings of disseminated muscular cysUcercosis have been reported before only a few numbers of times. In this case, the correct diagnosis was made on the basis of high-resolution sonography of the subcutaneous tissue and muscles. It showed multiple oval to circular, predominantly anechoic lesions, which were around 1 cm in diameter. Most of these cystic lesions showed a hyperechoic focus within suggestive of a scolex. There was no increased vascularity surrounding the lesions. Thus, sonography can primarily make the correct diagnosis of disseminated muscular cysticercosis if such lesions are seen. In endemic areas, cysticercosis should be considered one of the differential diagnosis of the subcutaneous swellings.


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