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Case Reports
. 2014 Sep 11:7:631.
doi: 10.1186/1756-0500-7-631.

Tibial hydatidosis: a case report

Berhe Gebreseslassie Kassa, Melisachew Mulatu Yeshi, Amanuel Haile Abraha, Tewelde Tesfaye Gebremariam  1
Affiliations
Case Reports

Tibial hydatidosis: a case report

Berhe Gebreseslassie Kassa et al. BMC Res Notes. .

Abstract

Background: Hydatidosis is a tapeworm infection caused by the larval stage of Echinococcus species. The organs most frequently affected are the liver and the lungs. Primary involvement of the skeleton is rare. The location of hydatid cysts in the tibia is seldom described in the medical literature, and its diagnosis is challenging and often presenting with a pathologic fracture simulating benign bone cystic lesion.

Case presentation: We report a 53-year-old Tigrian woman who developed hydatid disease of the tibia.

Conclusion: The diagnosis of primary bone hydatid disease, especially tibial hydatidosis, is difficult and requires high index of suspicion. Hence, orthopedic surgeons should be aware of this disease. Moreover, it should be considered in preoperative differential diagnosis of destructive bone lesions especially in endemic areas.

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Figures

Figure 1
Figure 1
Preoperative X-ray of the right leg (arrow).
Figure 2
Figure 2
Histopathologic examination revealing laminated acellular cyst wall with germinal layer (black arrow) and scolex (red arrow).
Figure 3
Figure 3
Intraoperative procedure showing a hydatid cyst.
Figure 4
Figure 4
Intramedullary tibial cavity after curettage of the cyst.
Figure 5
Figure 5
Control x-rays of the right leg taken at four months (left) and two years (right) after definitive management.
See this image and copyright information in PMC

References

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