Primitive pelvic bone hydatidosis: What an amazing extension

Boussaid, S.; Daldoul, C.; Hassayoun, M.; Rekik, S.; Jammali, Samia; Sahli, H.; Elleuch, M.

doi:10.1002/ccr3.5054

Cited by 4 publications

(3 citation statements)

References 14 publications

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“…Iliac bone involvement has a poor functional prognosis due to extension to the hip joint and more rarely to the sacrum [10]. Bone hydatid cyst has been called "white cancer" [15]. The surgery is often debilitating, with a high risk of recurrence [16].…”

Section: Prognosismentioning

confidence: 99%

Bone and Intramuscular Hydatid Cysts: A Rare Association

Benzalim¹,

Ranib²,

Alj³

2022

IJMI

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Background: Hydatidosis is a parasitic disease linked to the development of Echinococcus Granulosus larval form in humans. This anthropozoonosis is characterized by many topographical and evolutionary aspects. Musculoskeletal hydatidosis is rare, it represents only 0.9 to 2.5% of all locations. Objective: the aim of this manuscript is to report a rare case of bone and muscle location of hydatid cyst and show the imaging contribution in its positive diagnosis and pre-therapeutic assessment. Method: We report the observation of a 61-year-old man admitted to our training for a right thigh mass, revealing a muscular hydatid cyst with a concomitant iliac bone location. Result: Ultrasound examination shows an intra muscular cystic lesion, of the Sartorius and rectus femoris muscles, with hydatid membranes inside. A simultaneous bone location, at the ipsilateral iliac bone, was fortuitously discovered on CT scan and MRI exploration, which show a multicystic lytic lesion with cystic signal and round daughter cysts on MRI examination. A complementary X-ray of the pelvis shows the classic "honeycomb" appearance of the right iliac bone. A positive hydatid serology confirmed the diagnosis. No concomitant hepatic or pulmonary localization was demonstrated on abdominal ultrasound and chest CT scan. An anthelminthic therapy (Albendazole) was started, and the patient was a candidate for further surgical treatment. Conclusion: Musculoskeletal hydatid cyst location is rare. The Hydatid osteopathy is usually infiltrative, slow and progressive, which makes diagnosis late and compromises the quality of treatment. So, despite its rarity; musculoskeletal hydatid cyst should always be considered in the differential diagnosis of cystic lesions in endemic areas.

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Section: Prognosismentioning

confidence: 99%

Bone and Intramuscular Hydatid Cysts: A Rare Association

Benzalim¹,

Ranib²,

Alj³

2022

IJMI

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“…The most common location for BH is the vertebrae, accounting for approximately 50% of cases, followed by the pelvis and long bones of the lower limb. Previous reports have considered the pelvis as the second most common location for BH, with an occurrence rate of approximately 28% [ 5 ]. The ilium is the preferred site for pelvic hydatidosis, as previously noted by Zlitni et al The same study reported an infection rate of 30%, which is a crucial factor in the treatment protocol and patient prognosis [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Surgical Management of Cystic Pelvic Hydatid Bone Disease Using Additively Manufactured Customized Implants for Salvage Reconstruction: A Report of Two Cases

Marinescu,

Cretu,

Ciumeica

et al. 2024

Cureus

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The diagnosis and treatment of pelvic bone hydatidosis (BH) present substantial challenges for orthopedic surgeons, requiring collaboration with parasitologists, radiologists, pathologists, and engineers. Surgical treatment selection depends on factors such as the extent of bone loss, soft tissue management, previously applied therapies, and local colonization status. This report details the advanced management of two young patients diagnosed late with severe cystic pelvic BH, an atypical presentation due to their geographic origin and age. Following extensive diagnostic assessments, including serology and 3D imaging, the patients underwent a two-step surgical intervention. The initial surgery involved extensive debridement and the placement of a poly-methyl-methacrylate spacer, followed by a second procedure utilizing a custom-made, tri-flanged implant for definitive pelvic reconstruction. The custom implant, designed via an electron beam melting process, successfully restored hip functionality and anatomy, as evidenced by improvements in functional scores and post-operative imaging. Short-term monitoring confirmed the integration of the implant and the absence of infection recurrence, demonstrating the approach's effectiveness. These cases highlight the potential of using additive manufacturing (AM) to create patient-specific implants for managing complex hip cases and emphasize the necessity for early detection and a multidisciplinary approach in treatment planning.

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“…mostly with E. granulosus (cystic echinococcosis; CE) and/or E. multilocularis (alveolar echinococcosis; AE). The disease is transmitted between humans and animals and seriously threatens human health [ 1 , 2 ]. The incidence of echinococcosis is low, but biological behavior of the parasites is quite complex.…”

Section: Introductionmentioning

confidence: 99%

Imaging Manifestations and Misdiagnosis Analysis of Six Cases of Bone Hydatid Disease

et al. 2022

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We retrospectively evaluated the clinical and imaging features of 6 patients with bone hydatid disease confirmed by surgery and pathological examination. Among the 6 patients, 2 were infected with Echinococcosis granulosus metacestode and 4 were infected with E. multilocularis metacestode. The 2 cases with cystic echinococcosis were diagnosed by computed tomographic (CT) examination, and other 4 cases were diagnosed by magnetic resonance (MR) imaging. On the initial evaluation, 1 case each was misdiagnosed as a giant cell tumor or neurogenic tumor, and 2 were misdiagnosed as tuberculosis. The imaging manifestations of bone hydatid disease are complex, but most common findings include expansive osteolytic bone destruction, which may be associated with sclerosing edges or dead bone formation, localized soft tissue masses, and vertebral lesions with wedge-shaped changes and spinal stenosis. Combining imaging findings with the patient’s epidemiological history and immunological examinations is of great help in improving the diagnosis and differential diagnosis of bone hydatid disease.

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Primitive pelvic bone hydatidosis: What an amazing extension

Cited by 4 publications

References 14 publications

Bone and Intramuscular Hydatid Cysts: A Rare Association

Bone and Intramuscular Hydatid Cysts: A Rare Association

Surgical Management of Cystic Pelvic Hydatid Bone Disease Using Additively Manufactured Customized Implants for Salvage Reconstruction: A Report of Two Cases

Imaging Manifestations and Misdiagnosis Analysis of Six Cases of Bone Hydatid Disease

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