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Vertebral hydatid disease

E Paşaoğlu, S Boyacigil, L Damgaci

    Australasian Radiology
    |May 1, 1997
    PubMed
    Summary

    Bone hydatidosis is a rare condition, often affecting the spine. This case highlights a 22-year-old man with lumbar pain due to spinal hydatid disease, emphasizing its consideration in endemic areas.

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    Area of Science:

    • Medical Parasitology
    • Skeletal Imaging
    • Neurosurgery

    Background:

    • Hydatid disease, caused by Echinococcus granulosus, is a parasitic infection.
    • Osseous hydatidosis accounts for a small percentage (0.5-2%) of all hydatidosis cases.
    • Vertebral involvement is the most common presentation of bone hydatidosis, occurring in 44% of cases.

    Observation:

    • A 22-year-old male presented with persistent low back pain.
    • Computed Tomography (CT) revealed cystic lesions within the spinal canal and paravertebral region at L5-S1.
    • Imaging demonstrated destruction of the vertebral corpus and lamina, with invasion of the sacral foramen.

    Findings:

    • Surgical intervention was performed for the spinal lesions.
    • Histopathological examination confirmed the diagnosis of hydatid disease.
    • The findings underscore the potential for extensive vertebral and sacral involvement.

    Implications:

    • In regions where hydatidosis is endemic, clinicians must maintain a high index of suspicion for skeletal involvement.
    • Early diagnosis and surgical management are crucial for patients with spinal hydatid disease.
    • This case emphasizes the importance of integrating imaging and histopathology for accurate diagnosis and treatment planning.

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