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Trichinella Spiralis Complicating Closed Fracture of the
Femur in a 34 old man Background Trichinella Spiralis, causing Trichinosis was first reported in man in 1835, recorded in United States in 1846. It is associated with the consumption insufficiently cooked pork. Case Presentation A 34 year old man from Southern Sudan sustained a closed fracture of his right femur in the year 2002 following a road traffic accident. He was treated operatively and a Kuntcher nail was inserted. However, there was no union of the fracture after 9 months. Instead he developed a swelling on the mid aspect of the thigh around the fracture site. X-ray taken revealed non-union of the fracture and a cystic mass with calcified capsule around the fracture site. An ultrasound scan of the thigh detected the mass and suggested that it was a benign lesion. During repeat surgery an encapsulated mass measuring about 8 cm x 6 cm was found, which had a thick wall. Beneath the capsule there were thick, greenish elongated fibrous tissues of striated muscle with a greenish thick fluid in the center. Pathologists reported skeletal muscle with may cyst-like spaces containing Larva of Trichinella spiralis and occasional giant cells. |
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