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