Case 9 – JOCR Oct – Dec 2011

Giant muscle-skeletal hydatidosis- A clinical dilemma

Arashdeep Singh1, Harneet Narula1
1 Gian Sagar Medical College, Banur Punjab India

Address of Correspondance
Dr Arashdeep Singh
Gian Sagar Medical College, Banur Punjab India
docrammi@yahoo.co.in

 

Abstract:

Introduction: Though imaging findings of hydatid cyst involving liver, lung and brain have commonly described, description of musculo-skeletal hydatidosis is rare. It is usually a “clinical dilemma” as the lesion often clinically mimics a neoplasm (more so a malignancy) and serological tests for hydatidosis are often negative.

Case Report: We describe a case of unusually giant hydatidosis of left lower limb involving various muscles as well left hemi-pelvis with extremely unusual extension into pelvis. Ultrasosnography and CT scans suggested Hydatidosis but serological tests were negative. FNAC confirmed the diagnosis and en bloc resection was done. Follow up medical management was continued with no recurrence at 6 months.

Conclusion: Imaging findings are classical and often solves the clinician’s dilemma and also accurately depict the extent of spread. FNAC may be required to confirm the diagnosis. Enbloc resection and medical management give good result with minimal complications

Key words:

Musculo-skeletal, hydatid, cyst, ultrasound, CT, MRI


 

How to Cite This Article: Singh A, Narula H. Giant muscle-skeletal hydatidosis- A clinical dilemma. Journal of Orthopaedic Case Reports 2011 Oct-Dec;1(1):33-35 Available from: http://www.jocr.co.in/wp/wp-content/uploads/2011/10/case-9.pdf

 

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