Pelvic bone hydatidosis

Abstract

Bone hydatid disease is a rare pathology, characterized by its long clinical latency, the absence of radiological specificity as well as its challenging surgical treatment. We report an observation of pelvic bone hydatidosis in a 28-year-old patient, appearing with pain and stiffness of the hip as well as a degenerative aspect on the coxofemoral joint on X-ray. The treatment consisted of an extensive hemipelvectomy with femoro pelvic arthrodesis, completed by medical treatment. The functional result was excellent in spite of a break in the fixation material, which allowed a certain mobility at the proximal end of the femur. Hydatid disease of bone is infiltrating,diffuse, slow, and progressive, all characteristics explaining the often-delayed diagnosis. Medical imaging provides accurate analysis for planning a broad surgical resection. The quality of surgical resection is determined according to the risk of recurrence. Pelvic locations are particularly difficult to treat. After an enlarged and difficult surgical resection, reconstruction remains aleatory and poses many technical problems.

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

“…It is considered to be relatively silent, slowly progressive disease with a latent period of many years [37,38]. Early symptoms appear when the small cyst expands and produces significant mechanical compression on surrounding vital structures.…”

A New Approach for Treatment of Bone Hydatid Cyst Disease: A Case Report of Primer Femur Hydatid Cyst

“…Although wide excision of the infected bone provides the best chance of cure, it usually leaves an extensive bone defect that can produce a challenge during reconstruction (11). In our case we resected 2/3 of the femur and reconstruction of that was impossible.…”

Pelvic Bone Hydatidosis

“…Pelvic locations are particularly difficult to treat (15). Because of the poor results with medical treatment, bone hydatidosis must be treated with wide excision (1,16).…”