Hydatid cysts commonly affect the liver and the lung. However, they rarely involve bones with vertebral column. We hereby report a case of a female patient with cystic echinococcosis of the hip bone and ilium. She presented with a long history of frequent recurrences highlighting the dismal prognosis at this rare site. Resection of the hydatid cyst from the sacroiliac region was done with allograft and autograft (rib graft) with lumbosacroiliac fixation. Follow-up of the patient at 6 months showed no detectable abnormality on radiology and the patient was doing well.
Adult ; Bone Diseases/*diagnosis/parasitology/*pathology/surgery ; Bone Transplantation ; Echinococcosis/*diagnosis/*parasitology/surgery ; Female ; Humans ; Pelvic Bones/*parasitology/*pathology/surgery ; Recurrence

No abstract available.
Animals ; Calcinosis ; Echinococcosis, Hepatic/diagnosis/*parasitology/surgery ; Echinococcus granulosus/*isolation & purification ; Hepatectomy ; Humans ; Liver/*parasitology/pathology/radiography/surgery ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Tomography, X-Ray Computed

Diagnosis, Differential ; Diagnostic Errors ; Diaphragm ; diagnostic imaging ; physiopathology ; Echinococcosis, Hepatic ; diagnosis ; pathology ; surgery ; Female ; Hernia, Diaphragmatic ; diagnosis ; diagnostic imaging ; Humans ; Liver ; parasitology ; pathology ; surgery ; Tomography, X-Ray Computed

Cystic disease of the spleen is an uncommon entity in general population. Most cases result from parasitic infection by Echinococcus granulosus, a form called splenic hydatid disease (SHD), with a reported frequency of 0.5-6.0% within abdominal hydatidosis. On the contrary, an isolated splenic involvement of hydatid disease is very uncommon even in endemic regions. Two cases of primary SHD managed with open and laparoscopic radical surgery in our department are reported herein. Primary SHD is a rare entity with non-specific symptoms underlying clinical suspicion by the physician for prompt diagnosis. Surgical treatment is the mainstay therapy, while laparoscopic approach when feasible is safe, offering the advantages of laparoscopic surgery.
Adult ; Aged ; Animals ; Echinococcosis/*diagnosis/parasitology/*pathology/surgery ; Echinococcus granulosus/*isolation & purification ; Female ; Greece ; Humans ; Laparoscopy ; Male ; Radiography, Abdominal ; Splenic Diseases/*diagnosis/parasitology/*pathology/surgery ; Tomography, X-Ray Computed

Pelvic masses, especially hydatid disease, rarely present with sciatica (1, 2). We present the computed tomography (CT) and the magnetic resonance imaging (MRI) findings of a 49-year-old female patient with presacral hydatid disease, who was evaluated for her sciatica. We also want to emphasize the importance of assessing the pelvis of patients with symptoms and clinical findings that are inconsistent and that cannot be satisfactorily explained by the spinal imaging findings.
Animals ; Anthelmintics/administration & dosage ; Contrast Media/administration & dosage ; Diagnosis, Differential ; Echinococcosis/complications/*diagnosis/surgery ; Echinococcus/drug effects ; Female ; Humans ; Lumbosacral Plexus/parasitology/pathology/radiography ; Magnetic Resonance Imaging/*methods ; Mebendazole/administration & dosage ; Middle Aged ; Pain/etiology ; Pelvis/*pathology/*radiography/surgery ; Radiographic Image Enhancement/methods ; Recurrence ; Sciatica/*parasitology/surgery ; Tomography, X-Ray Computed/*methods