Pelvic Bone Hydatidosis: A Dangerous Crippling Disease

Inayat, Faisal; Rana, Raza Elahi; Shoaib, Azam; Ahmad, Rizwan; Ahmad, Soban

doi:10.7759/cureus.4465

Cited by 8 publications

(31 citation statements)

References 17 publications

(30 reference statements)

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“…The larvae released from the eggs penetrate the intestinal wall and migrate to various organs. In addition to having a clear history of pastoral contact, a relatively higher prevalence has been noted in the rural populations that is mainly attributable to the slaughtering of animals in these areas [1]. In this study, we found that three patients were shepherds with a definite epidemiological history, and nine patients were all farmers.…”

Section: Clinical Features and Epidemicsupporting

confidence: 47%

“…Specific antibody examinations are used for diagnosis including the following: the Casoni test, indirect hemagglutination (IHA), counterimmunoelectrophoresis (CIE), enzyme-linked immunosorbent assay (ELISA), and gold-labelled antibody [ 4 ]. Routine blood tests may reveal nonspecific inflammatory trends such as eosinophilia, deranged liver function tests, and raised CRP and erythrocyte sedimentation rate (ESR) [ 1 ]. In this group, only 5 cases underwent enzyme-linked immunosorbent assay (anti-EgcF antibody, anti-EgP antibody, anti-EgB antibody, and anti-Em2 antibody were all positive).…”

Section: Discussionmentioning

confidence: 99%

“…It is mainly prevalent in pastoral areas, especially in Xinjiang, Qinghai, Ningxia, Gansu, Inner Mongolia, and Tibet. Bone echinococcosis is rare, accounting for 0.5 to 4.0% of all echinococcosis [ 1 , 2 ]. It is likely to miss the diagnosis and misdiagnose due to non-specific early symptoms, and the clinical manifestations and imaging features are similar to those of bone tumor, bone cyst, and other diseases.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of imaging features of pelvic echinococcosis based on multimodal images

Chen¹,

Aikebaier²,

Zhao³

2020

J Orthop Surg Res

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Background Hydatid disease (HD) is a zoonotic parasitic disease caused by the larvae of Echinococcus, It is mainly prevalent in pastoral areas. Bone echinococcosis is rare, accounting for 0.5 to 4.0% of all echinococcosis. It is likely to miss the diagnosis and misdiagnose due to non-specific early symptoms and the clinical manifestations and imaging features. The clinical data of 15 patients with pelvic cystic echinococcosis were analyzed retrospectively, and the X-ray, CT, and MRI imaging features of the disease were discussed, which are reported below. Methods All 15 patients underwent CT scan evaluation. A total of 8 patients underwent coronal, sagittal, and three-dimensional reconstruction with 3-mm-slice thickness, and 4 patients underwent X-ray plain film examination. Five cases underwent MRI scan. Eight cases underwent MRI or CT enhanced scan. Results X-ray plain film is characterized by continuous cystic bone destruction, irregular low-density shadow when invading soft tissue, and sometimes calcification which can be seen on the wall or inside the cyst. The involved sacroiliac joint or hip joint may narrow or disappear. The involvement of pelvic cystic echinococcosis is relatively wide, and 80% of patients with pelvic cysts in this group had multiple lesions in the same period. Cystic expansive bone destruction was the most common. Pelvic CT revealed a lobulated hypodense lesion of varying size with internal septae, causing cortical thinning and destruction. Most of them had no periosteal reaction. The iliopsoas muscle is most easily invaded. Single cystic echinococcosis of pelvis showed intermediate or low signal intensity on T1-weighted images and hyperintensity on T2-weighted images in the involved bone and surrounding soft tissue on MRI, and the cyst wall showed linear low signal in T1WI, T2WI, and STIR sequences. The polycystic type is characterized by multiple cysts of varying signal intensity (daughter cysts) within a larger cyst is the typical MRI finding, forming “small vesicles” high signal daughter cysts. Osteosclerosis or calcification showed low signal in T1WI and T2WI. Conclusions The results of this study suggest that the lesions of pelvic cystic echinococcosis are mostly cystic expansive and osteolytic bone destruction, which is easy to invade the surrounding soft tissue, often accompanied with calcification; among them, multiple cystic lesions are characteristic.

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Section: Clinical Features and Epidemicsupporting

confidence: 47%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Evaluation of imaging features of pelvic echinococcosis based on multimodal images

Chen¹,

Aikebaier²,

Zhao³

2020

J Orthop Surg Res

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“…Therefore, we used the surgical method and tried to eradicate the parasite using albendazole. Oral chemotherapy with Albendazole was continued for four weeks to prevent the possibility of cyst regrowth from surgical debris in the surrounding soft tissues (16). In our case, according to the patient's history, both a new infection J o u r n a l P r e -p r o o f (because of close contact with animals) and a secondary infection due to a previous cyst were possible.…”

Section: J O U R N a L P R E -P R O O Fmentioning

confidence: 84%

Hydatid cysts of the pelvis following pulmonary hydatid disease: A rare case report

Sales

Behniafar²,

Bazavar

et al. 2021

Heliyon

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…Human hydatid disease is caused by the tapeworm Echinococcus granulosus , causing cystic hydatid disease. 1 – 5 Humans act as intermediate hosts and are infected by faecal oral spread, particularly when in contact with dogs infected with echinococcosis , who then shed the tapeworm eggs in their faeces. 3 , 5 – 7 Hydatid disease commonly affects the liver (75%), followed by the lungs (15%).…”

Section: Introductionmentioning

confidence: 99%

Lytic parasitic: a case of bone destructing echinococcosis

Govindasamy

Bhattarai

John

2021

Therapeutic Advances in Infection

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Pelvic hydatid bone disease is a rare and debilitating condition. Patients often present with symptoms and signs when the disease process is advanced and curative resection is not possible. We present a case of destructive bone hydatid disease affecting the left iliac bone. A 45-year-old woman presented initially 5 years ago with a left pelvic mass to the gynaecology department. Computed tomography (CT) scan done at that time showed a large pelvic, left iliac fossa cystic mass with the destruction of the left iliac bone. Extension of the cystic mass transversed the iliac bone into the posterior soft tissue. Percutaneous biopsy taken showed hydatid cystic disease. The patient was planned for surgery and, however, was lost to follow-up. Four years later, she presented with a history of worsening left pelvic pain with an enlarging, left pelvic mass, and another mass in the posterior gluteal area. In addition, CT imaging showed extensive left iliac bone destruction with posterior soft tissue extension to the gluteus muscle. A multidisciplinary team concluded that complete excision would not result in cure. Thus, complete iliac wing bone reconstruction was not an option in this patient. Instead, palliative measures were deemed in the patient’s best interest to control disease progression and relieve painful pressure-related symptoms from the hydatid cystic mass. The patient received preoperative albendazole and underwent an extraperitoneal debulking of the soft tissue hydatid infiltration and debridement of bony fragments from left iliac bone destruction. Postoperatively, the patient did well, and her main complaint of pain related to the cystic mass pressure had improved significantly.

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Pelvic Bone Hydatidosis: A Dangerous Crippling Disease

Cited by 8 publications

References 17 publications

Evaluation of imaging features of pelvic echinococcosis based on multimodal images

Evaluation of imaging features of pelvic echinococcosis based on multimodal images

Hydatid cysts of the pelvis following pulmonary hydatid disease: A rare case report

Lytic parasitic: a case of bone destructing echinococcosis

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