Hydatid Cyst of Bone: Diagnosis and Treatment

Zlitni, M.; Ezzaouia, K.; Lebib, Hamadi; Karray, M.; Kooli, Mondher; Mestiri, M.

doi:10.1007/s002680020010

Cited by 146 publications

(76 citation statements)

References 19 publications

(44 reference statements)

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“…While these cysts expand, they destroy the surrounding trabeculae and can reach a considerable size [25,26]. Due to cyst enlargement and consequent cortical thinning, pathological fractures may occur.…”

Section: Discussionmentioning

confidence: 99%

Skeletal Manifestations of Hydatid Disease in Serbia: Demographic Distribution, Site Involvement, Radiological Findings, and Complications

et al. 2013

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Although Serbia is recognized as an endemic country for echinococcosis, no information about precise incidence in humans has been available. The aim of this study was to investigate the skeletal manifestations of hydatid disease in Serbia. This retrospective study was conducted by reviewing the medical database of Institute for Pathology (Faculty of Medicine in Belgrade), a reference institution for bone pathology in Serbia. We reported a total of 41 patients with bone cystic echinococcosis (CE) during the study period. The mean age of 41 patients was 40.9±18.8 years. In 39% of patients, the fracture line was the only visible radiological sign, followed by cyst and tumefaction. The spine was the most commonly involved skeletal site (55.8%), followed by the femur (18.6%), pelvis (13.9%), humerus (7.0%), rib (2.3%), and tibia (2.3%). Pain was the symptom in 41.5% of patients, while some patients demonstrated complications such as paraplegia (22.0%), pathologic fracture (48.8%), and scoliosis (9.8%). The pathological fracture most frequently affected the spine (75.0%) followed by the femur (20.0%) and tibia (5.0%). However, 19.5% of patients didn't develop any complication or symptom. In this study, we showed that bone CE is not uncommon in Serbian population. As reported in the literature, therapy of bone CE is controversial and its results are poor. In order to improve the therapy outcome, early diagnosis, before symptoms and complications occur, can be contributive.

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Section: Discussionmentioning

confidence: 99%

Skeletal Manifestations of Hydatid Disease in Serbia: Demographic Distribution, Site Involvement, Radiological Findings, and Complications

et al. 2013

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“…Plain radiographic findings of bony hydatidosis are nonspecific. CT has shown to be the best imaging tool for diagnosis and preoperative planning in bone hydatidosis [4]. MRI is helpful in evaluating the soft tissue and bone marrow involvement.…”

Section: Discussionmentioning

confidence: 99%

Hydatid Disease of the Femur with an Extraosseous Extent due to a Former Biopsy Complicated by a Pathological Fracture

Çiftdemir

Sezer

Puyan

et al. 2012

Case Reports in Orthopedics

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Hydatid disease of the bone represents about 1–2.5% of all human hydatid disease. Spine is the most affected part of the skeleton with 50% incidence of all bone hydatidosis. Extraspinal bone hydatidosis is much rare. Diagnosis is difficult in the bone hydatid disease. Bone tumors, tumor-like lesions, and specific and nonspecific infections should be considered in the differential diagnosis. Radiological, laboratory, and clinical findings combined with strong element of suspicion are the key for diagnosis. Bone biopsies should be avoided because of the danger of anaphylaxis, sensitization, and spread. This paper describes the management of a patient with primary hydatidosis of the femur, which had been complicated by an extraosseous involvement, cortical erosion, and a pathological fracture due to a former needle biopsy.

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“…Misdiagnosis of spinal hydatid cyst as tuberculous spondylitis could result in serious consequences. Recurrence (30% 100%) remains a major problem in spinal hydatid disease [16,17]. Long-term hydatid disease caused persistent pain, significant persistent neurologic deficits and spinal instability and resulted in a high morbidity and mortality and poor prognosis.…”

Section: Discussionmentioning

confidence: 99%

Magnetic resonance imaging and computerised tomography findings in an intraspinal extradural hydatid cyst mimicking tuberculous spondylitis: a case report

Xin

Wang

Fan

2009

Cases J

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Spinal hydatid cyst with thoracic vertebra involvement is rare but serious condition. We present a 63-year old woman with spinal hydatid disease mimicking tuberculous spondylitis. A case study with Computerised Tomography and Magnetic Resonance Imaging diagnostic findings and surgical treatment is reported in this article. Primary spinal hydatid disease should be considered in the differential diagnosis of tuberculous spondylitis in endemic area. Familiarity with typical imaging appearances of spinal hydatid disease may be helpful in making a correct diagnosis and treatment.

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Hydatid Cyst of Bone: Diagnosis and Treatment

Cited by 146 publications

References 19 publications

Skeletal Manifestations of Hydatid Disease in Serbia: Demographic Distribution, Site Involvement, Radiological Findings, and Complications

Skeletal Manifestations of Hydatid Disease in Serbia: Demographic Distribution, Site Involvement, Radiological Findings, and Complications

Hydatid Disease of the Femur with an Extraosseous Extent due to a Former Biopsy Complicated by a Pathological Fracture

Magnetic resonance imaging and computerised tomography findings in an intraspinal extradural hydatid cyst mimicking tuberculous spondylitis: a case report

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