Case 4
A three and half year-old male child came to the OPD with complaints of swelling on the anterior abdominal wall noticed 6 months back which recently showed an increase in size and was associated with itching over the lesion. On examination there was a 0.5 x 0.5 cm subcutaneous lesion in the epigastric region which was non tender. Ultrasonography revealed a worm in the subcutaneous cyst in the epigastrium (Figure 5).
Excision of the lesion was done, the cyst was sent for histopathological examination (HPE) which revealed a parasitic granuloma with few remnants of parasite, some calcified which is comparable with Dirofilaria. On follow up, child was doing well with no signs of infection.