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Hydatidosis of the pelvis: a case report with a 25-year follow-up

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Abstract

Introduction

Hydatid disease involves mainly the liver (66% of the cases) and the lungs (22%), with skeletal involvement being reported in 0.5–2.5% of cases.

Case report

Herein is reported a case of hydatidosis of the hip and pelvis with a follow-up of 25 years. The diagnosis was first done in April 1975 following the local excision of a single hydatid cyst from the ischium of a 25-year-old man complaining of increasing pain and swelling of the left thigh. Histology confirmed hydatid disease of the bone. Local excision was repeated four more times for recurrence of the hydatid cysts in the bone or soft tissues. Antiparasitic medical therapy (albendazole 10 mg/kg daily) was attempted in 1991 but suspended after 2 days due to systemic adverse effects (abdominal pain, diarrhea). The patient had a 12-year relapse-free period with complete absence of any symptoms.

Conclusion

Such a long symptom-free period confirms that it is not possible to consider bone hydatidosis as being completely healed without the confirmation of a long term follow-up.

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References

  1. Agarwal S, Shah A, Mohammed Kadhi SK, Rooney RJ (1992) Hydatid bone disease of the pelvis: a report of two cases and review of the literature. Clin Orthop 280:251–255

    PubMed  Google Scholar 

  2. Cosco S, Calderon JE (1985) Su di un caso di echinococcosi primitiva dell’ileo. Chir Organi Mov 70:195–197

    CAS  PubMed  Google Scholar 

  3. De Cristofaro R, Ruggieri P, Biagini R, Picci P (1990) Case report 629. Skeletal Radiol 19:461–464

    PubMed  Google Scholar 

  4. Gorun N (1992) La désarticulation de hanche de nécessité dans l’ échinococcose étendue du fémur. Rev Chir Orthop Reparatrice Appar Mot 78:255–257

    CAS  PubMed  Google Scholar 

  5. Helenon O, Folinais D, David M, Blangy S, Sibert A, Cornud FR, Benacerraf R (1986) Hydatidose osseuse de la ceinture pelvienne: apport de la tomodensitomètrie et de l’èchographie. Apropos de 3 observations. J Radiol 67:515–521

    CAS  PubMed  Google Scholar 

  6. Ocete G, Guerrero A, Diaz-Peletier R, Burgos J, Bouza E, De Miguel C (1986) Experience in the treatment of osseous hydatidosis. Int Orthop 10:141–145

    CAS  PubMed  Google Scholar 

  7. Sapkas GS, Stathakopoulos DP, Babis GC, Tsarouchas JK (1998) Hydatid disease of bones and joints: 8 cases followed for 4–16 years. Acta Orthop Scand 69:89–94

    CAS  PubMed  Google Scholar 

  8. Sakka SA (1993) Kyste hydatique primitif de la cuisse à manifestation douloureuse au niveau de la hanche. Rev Chir Orthop Reparatrice Appar Mot 79:226–228

    CAS  PubMed  Google Scholar 

  9. Szypryt EP, Morris DL, Mulholland RC (1987) Combined chemotherapy and surgery for hydatid bone disease. J Bone Joint Surg BR 69:141–144

    PubMed  Google Scholar 

  10. Wirbel RJ, Schulte M, Maier B, Mutschler WE (1999) Megaprosthetic replacement of the pelvis. Acta Orthop Scand 70:348–352

    CAS  PubMed  Google Scholar 

Download references

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Authors and Affiliations

  1. Department of Orthopaedics, Traumatology and Occupational Medicine, Clinica Ortopedica I, Università degli Studi di Torino, via Zuretti 29, 10126, Torino, Italy

    Alessandro Massè, Pier Giorgio Parola, Elena Maria Brach del Prever & Paolo Gallinaro

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  1. Alessandro Massè
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  2. Pier Giorgio Parola
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  3. Elena Maria Brach del Prever
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  4. Paolo Gallinaro
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Correspondence to Alessandro Massè.

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Massè, A., Parola, P.G., del Prever, E.M.B. et al. Hydatidosis of the pelvis: a case report with a 25-year follow-up. Arch Orthop Trauma Surg 124, 203–205 (2004). https://doi.org/10.1007/s00402-003-0624-7

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  • DOI: https://doi.org/10.1007/s00402-003-0624-7

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