Case 3
A two-year-old female child presented to the OPD with an incidentally noticed swelling over the right lower limb by her mother. There was no history of pain or trauma. On examination, a small 0.5 x 0.5 cm lesion over the shin of Right leg, non-tender and was mobile. Ultrasonography showed a subcutaneous lesion 7.8 x 4.3 x 7 mm in Right leg and was suggestive of a sebaceous cyst.
The child underwent elective excision under general anesthesia. A small 1 x 0.5 cm cystic lesion was excised and was sent for histopathological examination, which in-turn showed foreign body granuloma with deeper sections showing cross sections of dirofilaria worm (Figure 4). Post operative period was uneventful and she had a complete recovery.