Pelvic hydatid disease: CT and MRI findings causing sciatica

Sanal, Hatice Tuba; Kocaoğlu, Murat; Bulakbaşı, Nail; Yıldırım, Düzgün

doi:10.3348/kjr.2007.8.6.548

Cited by 8 publications

(3 citation statements)

References 8 publications

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“…Common presenting complaints are related to localized pain, swelling, local pressure symptoms, chronic sinus formation or claudication [9]. In published medical literature, lumbosacral neural compression leading to sciatica has also been described as the first clinical symptom of pelvic hydatidosis [10]. In these patients, physical examination may be unremarkable for abnormalities, but clinicians should remain vigilant for findings like variations in the limb symmetry, local infectious focus, fistula formation, or vertebral deformation.…”

Section: Discussionmentioning

confidence: 99%

Pelvic Bone Hydatidosis: A Dangerous Crippling Disease

Inayat

Rana

Shoaib

et al. 2019

Cureus

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Hydatid disease is one of the most complicated and devastating conditions caused by Echinococcus granulosus . This globally distributed disease continues to be an important public health concern in many low- and middle-income countries. The liver and the lungs are the most frequently involved sites, but virtually any organ system can be affected. Osseous hydatidosis is relatively less common, but it is extremely debilitating and difficult to manage due to frequent recurrences. Patients often demonstrate a delayed clinical presentation as bone involvement is predominantly a silent and slowly progressive disease with a long latent period. Radiological investigations play an important role in the diagnosis. Although standard therapeutic guidelines are not available, the treatment of choice is a combination of chemotherapy and surgery. Clinicians should perform a lifelong follow-up for early detection of potential recurrence and sequels. This paper aims to highlight hydatid disease of the pelvic bone as an important differential diagnosis of tubercular hip arthritis, especially in areas with high echinococcosis prevalence.

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Section: Discussionmentioning

confidence: 99%

Pelvic Bone Hydatidosis: A Dangerous Crippling Disease

Inayat

Rana

Shoaib

et al. 2019

Cureus

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“…2,[5][6][7] Similar to our observations, the literature reports that sciatica is the first clinical symptom that appears when the pelvic hydatid cyst compresses the lumbosacral nerve plexus. 8 It must be emphasized that there are no specific symptoms for pelvic hydatid disease; the mode of presentation is determined by the size of the cyst and any attendant complications.…”

Section: Discussionmentioning

confidence: 99%

Treatment experiences of pelvic bone hydatidosis

Liang

Wen

Yunus

et al. 2014

International Journal of Infectious Diseases

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“…Skin tests (Casoni's test) are nonspecific, and serological tests are often negative in the absence of hepatic and lung disease [27]. A soft-tissue hydatid cyst can be accurately diagnosed on ultrasound and computerized tomography scans, but magnetic resonance imaging studies is the gold standard [26,27,31].…”

Section: Discussionmentioning

confidence: 99%

Saphenous neuropathy due to large hydatid cyst within long adductor muscle: case report and literature review

Alimehmeti

Seferi

Rroji

et al. 2011

J Infect Dev Ctries

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An unusual case of saphenous neuropathy secondary to compression by a large hydatid cyst within the adductor longus muscle is reported. Solitary hydatid cyst(s) localized in the skeletal muscles occur rarely and often mimic soft tissue tumours. Presentation with signs of peripheral nerve compression by a hydatid cyst in an extremity is exceedingly rare. Diagnosis can be established by ultrasound, computerized tomography or magnetic resonance if clinically suspected. Clinical suspicion of hydatid origin of a solitary muscle cyst should be high especially in patients hailing from areas endemic for echinococcosis. Laboratory tests are usually unhelpful in such cases and needle biopsy carries the risk of anaphylactic shock and should therefore be avoided. Surgical removal of the unruptured cyst is the treatment of choice in cases of intramuscular hydatid cyst. In the present case, excision of the hydatid cyst was followed by complete clinical recovery. In the absence of systemic involvement, treatment with albendazole may be avoided.

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Pelvic hydatid disease: CT and MRI findings causing sciatica

Cited by 8 publications

References 8 publications

Pelvic Bone Hydatidosis: A Dangerous Crippling Disease

Pelvic Bone Hydatidosis: A Dangerous Crippling Disease

Treatment experiences of pelvic bone hydatidosis

Saphenous neuropathy due to large hydatid cyst within long adductor muscle: case report and literature review

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