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Primary Sacral Hydatid Cyst Causing Cutaneous Fistula.

Volkan Murat Unal1, Nail Ozdemir1, Ali Karadag1

  • 1Department of Neurosurgery, Tepecik Research and Training Hospital, Izmir, Turkey.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|June 11, 2017
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Summary
This summary is machine-generated.

A rare sacral hydatid cyst caused by Echinococcus infection presented with leg pain and a hip fistula. This case highlights a unique manifestation of spinal hydatidosis, typically affecting the liver and lungs.

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Area of Science:

  • Parasitology
  • Radiology
  • Neurosurgery

Background:

  • Echinococcus granulosus and Echinococcus multilocularis cause hydatid disease, typically affecting the liver and lungs.
  • Spinal hydatidosis is rare, accounting for less than 1% of cases, often presenting as a slow, silent progression.

Observation:

  • A 43-year-old woman presented with left leg pain and a draining cutaneous fistula on her left hip.
  • MRI revealed bilateral cystic lesions eroding the first sacral wing, extending paravertebrally and into the left intervertebral foramen.

Findings:

  • The patient's symptoms and imaging findings were consistent with a primary sacral hydatid cyst, a rare form of spinal hydatidosis.
  • The case demonstrates an unusual presentation of hydatid disease with a cutaneous fistula and sacral involvement.

Implications:

  • This case underscores the importance of considering rare parasitic infections in the differential diagnosis of spinal and pelvic cystic lesions.
  • Accurate diagnosis through advanced imaging like MRI is crucial for appropriate management of spinal hydatidosis.
  • Understanding the varied presentations of Echinococcus infections is vital for clinicians, especially in endemic areas.