Skeletal Radiology

, Volume 22, Issue 7, pp 511–514 | Cite as

Hydatid disease of the soft tissues of the lower limb: findings in three cases

  • Julio Martin
  • Vicente Marco
  • Ahmed Zidan
  • Constancio Marco


Three cases of hydatid disease are reported, all presenting as soft tissue lesions in the lower extremities. All three cases were studied with ultrasound (US), two with computed tomography (CT), and two with magnetic resonance (MR) imaging techniques. Two patients presented with multivesicular lesions which were considered diagnostic of hydatid disease. The third patient showed a lesion with a predominantly solid pattern, closely mimicking a soft-tissue neoplasm. US was not diagnostic, but MR outlined vesicular structures and a fibrous pericyst. Hydatid disease presenting in the soft tissues can therefore be diagnosed with confidence when it shows multi-vesicular lesions but MR may be the most useful imaging technique when a complex or solid pattern is present.

Key words

Echinococcosis Soft tissues, computed tomography Soft tissues, magnetic resonance Soft tissues, ultrasound hydatid disease 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Beggs I (1987) The radiology of hydatid disease. AJR 145:639Google Scholar
  2. 2.
    Case records of the Massachusetts General Hospital (1992) Case 32-1992. N Engl J Med 327:412Google Scholar
  3. 3.
    De Diego J, Lecumberri FJ, Franquet T, Ostiz S (1982) Computed tomography in hepatic echinococcosis. AJR 139:699Google Scholar
  4. 4.
    Di Gesu G, Picone A, La Bianca A, Massaro M, Vetri G (1987) Muscular and subcutaneous hydatidosis. Minerva Med 78:835Google Scholar
  5. 5.
    Ebara M, Ohto M, Watanabe Y et al. (1986) Diagnosis of small hepatocellular carcinoma: correlation of MR imaging and tumor histologic studies. Radiology 159:371Google Scholar
  6. 6.
    Elizondo G, Weissleder R, Stark DD, Todd GM, Comptom C, Wittemberg J, Ferrucci JT (1987) Amebic liver abscess: diagnosis and treatment evaluation with MR imaging. Radiology 165:795Google Scholar
  7. 7.
    Hoff FL, Alsen AM, Waiden ME, Glazer GM (1987) MR imaging in hydatid disease of the liver. Gastrointest Radiol 12:39Google Scholar
  8. 8.
    Lewall DB, McCorkell SJ (1985) Hepatic echinococcal cyst: sonographic appearance and classification. Radiology 155:773Google Scholar
  9. 9.
    Niron EA, Ozer H (1981) Ultrasound appearances of liver hydatid disease. Br J Radiol 54:335Google Scholar
  10. 10.
    Petrillo G, Milone P, Barretta S, Loreto C, Beritelli F, Magnano DS (1982) Muscular echinococcosis. J Comput Assist Tomogr 6:1197Google Scholar
  11. 11.
    Ramos L, Marcos J, Illanas M (1979) Radiologic aspects of echinococcosis. Radiology 130:21Google Scholar
  12. 12.
    Saksouk FA, Fahl MH, Rizk GHK (1986) Computed tomography of pulmonary hydatid disease. J Comput Assist Tomogr 10:226Google Scholar
  13. 13.
    Vietri F, Illuminati G, Palumbo P, Gugliemi R (1988) Recurrent primary hydatidosis of sartorius muscle. Case report. Acta Chir Scand 154:535Google Scholar
  14. 14.
    Von Sinner WN (1991) New diagnostic signs in hydatid disease; radiography, ultrasound, CT and MR correlated to pathology. Eur J Radiol 12:150Google Scholar
  15. 15.
    Von Sinner WN, Rifal A, Strake L, Sieck J (1990) Magnetic resonance imaging of thoracic hydatid disease: correlation with clinical findings, radiography, ultrasonography, CT and pathology. Acta Radiol 31:59Google Scholar
  16. 16.
    Von Sinner WN, Strake L, Clark D, Sharif H (1991) MR imaging in hydatid disease. AJR 157:741Google Scholar

Copyright information

© International Skeletal Society 1993

Authors and Affiliations

  • Julio Martin
    • 1
  • Vicente Marco
    • 3
  • Ahmed Zidan
    • 1
  • Constancio Marco
    • 2
  1. 1.Unitat de Diagnòstic per la Imatge d'Alta Tecnologia (UDIAT)SabadellSpain
  2. 2.Department of Orthopedic SurgeryInstituto PoliclínicoBarcelonaSpain
  3. 3.Department of PathologyHospital General de CatalunyaBarcelonaSpain

Personalised recommendations