Hydatid disease of the pelvis and the femur: A case report

We report a case of left-sided extended pelvic infestation of hydatid disease. The destruction of the hip joint, os pubis, larger parts of os ileum and the femoral head made pelvic resection and prosthetic replacement necessary. Recurrence of a hydatid cyst 5 years later in the left groin originatin...

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Bibliographic Details
Published inActa orthopaedica Vol. 66; no. 5; pp. 440 - 442
Main Authors Wirbel, Reiner J, Mues, Peter E, Mutschler, Wolf E, Salomon-looijen, Monika
Format Journal Article
LanguageEnglish
Published England Informa UK Ltd 1995
Subjects
Antinematodal Agents - therapeutic use
Echinococcosis - diagnostic imaging
Echinococcosis - drug therapy
Echinococcosis - surgery
Hip Prosthesis
Humans
Male
Mebendazole - therapeutic use
Middle Aged
Pelvic Bones - parasitology
Pelvic Bones - surgery
Prostheses and Implants
Radiography
Recurrence
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Summary:We report a case of left-sided extended pelvic infestation of hydatid disease. The destruction of the hip joint, os pubis, larger parts of os ileum and the femoral head made pelvic resection and prosthetic replacement necessary. Recurrence of a hydatid cyst 5 years later in the left groin originating in the femur was treated with a second femoral resection and total hip replacement. Because of instability, the pelvic replacement also had to be changed to a custom-made CAD replacement. This surgical procedure was combined with chemotherapy by mebendazole. The need for radical resection in osseal hydatid disease is discussed.
ISSN:1745-3674
0001-6470
1745-3682
DOI:10.3109/17453679508995582