Author/Authors :
Emami, MJ Department of Orthopaedic Surgery - Research Center for Bone and Joint Diseases - Shiraz University of Medical Sciences , Vosoughi, AR Department of Orthopaedic Surgery - Research Center for Bone and Joint Diseases - Shiraz University of Medical Sciences , Vadiee, I Department of Orthopaedic Surgery - Research Center for Bone and Joint Diseases - Shiraz University of Medical Sciences , Pakbaz, S Department of Orthopaedic Surgery - Research Center for Bone and Joint Diseases - Shiraz University of Medical Sciences , Liaghat, S Department of Orthopaedic Surgery - Research Center for Bone and Joint Diseases - Shiraz University of Medical Sciences
Abstract :
Bone hydatid disease is endemic in several regions worldwide and lacks a typical clinical appearance and image
characteristics; therefore, its diagnosis is very difficult. A 49-year-old rural woman was referred with purulent
discharge from sinus tract in the left ilium. X-ray and CT scan showed multiple lytic lesions with cortical destruction.
She was scheduled for sequestrectomy with impression of chronic osteomyelitis but destroyed hydatid cysts
were detected intraoperatively. Iliac wing excision from the iliac crest to the sacroiliac joint and supraacetabulum
area was performed. Pathologic findings were in favor of bone hydatidosis. Postoperatively, albendazole and
antibiotics were prescribed.
