Extensive hydatidosis of the femur and pelvis with pathological fracture: A case report

Abstract

Orthopedic surgeons should be alert to this morbid condition and this disease should be suspected in cystic lesions affecting any organ of the body in pathological fractures with non-union, especially in endemic areas of the world. Early diagnosis helps in eradication and salvage of the bone; misdiagnosis and delayed diagnosis are always fraught with the danger of amputation, recurrence, and sepsis.

Giant hydatid cyst of the pelvis, femur and retroperitoneal space: surgical treatment with extended hemipelvectomy

“…Instead, they are characterised by osteolytic destruction of the bone 1. To our knowledge, cysts of this magnitude are extremely rare 4 5. In their review of bone echinococcosis where 721 cases were included, Steinmetz et al 2 report that lesions range between 1 and 20 cm, with a median diameter of 5.5 cm.…”

Cystic Echinococcosis of the Pelvic Bone with Recurrences: A Case Report

“…Common reported sites of bone involvement were the vertebra, femur, and pelvis [3,4]. Occasional cases have been reported in the rib and humerus.The disease in the bone starts when scolices settle there.…”

Cause rare de lombosciatalgie symptomatique : hydatidose pelvienne

“…Sur le plan clinique, la symptomatologie est non spécifique, à l'origine d'un diagnostic tardif [8]. L'évolution est générale-ment lente sans fièvre ni altération de l'état général [11][12][13]. Le syndrome rachidien est habituellement discret et constitue un bon élément du diagnostic différentiel avec la spondylodiscite bactérienne.…”

“…Le traitement médical par l'albendazole est indiqué selon certains dans les formes multivésiculaires ou inopérables, comme dans notre cas, ou comme traitement adjuvant à la chirurgie [5,13]. En cas d'atteinte osseuse pelvienne extensive, l'exérèse curative complète reste difficile expliquant le risque élevé de récidive qui peut atteindre 40 % des cas et la nécessité d'une surveillance stricte [11,12,14].…”