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Cystic echinococcosis of the pelvic bone with recurrences: a case report

Sunila Jain1, Prem Chopra

  • 1Pathology Department, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi, Delhi 110060, India. S_Isha19@rediffmail.com

The Korean Journal of Parasitology
|November 11, 2011
PubMed

Insights

Cystic echinococcosis rarely affects bones. This case highlights a challenging hip bone and ilium infection with recurrence, successfully treated with surgical resection and reconstruction.

Area of Science:

  • Medical Parasitology
  • Orthopedic Surgery
  • Radiology

Background:

  • Hydatid cysts, caused by Echinococcus granulosus, typically manifest in the liver and lungs.
  • Skeletal involvement, particularly in the pelvic bones, is exceptionally rare, posing diagnostic and therapeutic challenges.

Observation:

  • A female patient presented with recurrent cystic echinococcosis of the hip bone and ilium.
  • The rare site and history of recurrences indicated a poor prognosis.

Findings:

  • Surgical resection of the hydatid cyst from the sacroiliac region was performed.
  • The defect was reconstructed using allograft and autograft (rib graft) with lumbosacroiliac fixation.

Implications:

  • This case underscores the importance of considering rare presentations of cystic echinococcosis in differential diagnoses.
  • Successful surgical management with bone grafting and fixation offers a viable treatment option for pelvic hydatid disease.

Keywords:
Echinococcus granulosusIndiacase reporthydatidpelvic bone

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