Pelvic bone hydatidosis

Summary 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...

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Published inOrthopaedics & traumatology, surgery & research Vol. 96; no. 1; pp. 85 - 89
Main Authors Gdoura, F, Trigui, M, Zribi, W, Ellouze, Z, Bouzidi, R, Ayedi, K, Keskes, H
Format Journal Article
LanguageEnglish
Published France Elsevier Masson SAS 01.02.2010
Subjects
Adult
Albendazole - therapeutic use
Anthelmintics - therapeutic use
Arthrodesis - methods
Bone Diseases - diagnosis
Bone Diseases - drug therapy
Bone Diseases - parasitology
Bone Diseases - surgery
Bone hydatid disease
Bone resection
Bone Screws
Combined Modality Therapy
Diagnosis, Differential
Echinococcosis - diagnosis
Echinococcosis - drug therapy
Echinococcosis - surgery
Hip arthrodesis
Humans
Magnetic Resonance Imaging
Male
Orthopedics
Pelvis
Reoperation
Surgery
Tomography, X-Ray Computed
Bone hydatid disease
Pelvis
Bone resection
Hip arthrodesis
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Summary:Summary 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 femoropelvic 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.
ISSN:1877-0568
1877-0568
DOI:10.1016/j.otsr.2009.04.020