Hydatid cyst of sacrum affecting the sakroiliac joint: A case report
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Dosyalar
Tarih
2013
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Ciddi ve ilerleyici bel ağrısına neden olan ve yanlış tanı almış nadir görülen bir kist hidatik vakasını tanımlamak. Giriş: Hidatik hastalık ya da hidatidozis dünyada yaygın bir insan sestod enfeksiyonudur ve karakteristik coğrafi k bir dağılıma sahiptir. Karaciğer ve akciğerler en sık tutulur. Vakalarda kemik tutulumu %4den daha azdır. Vertebral hidatik hastalık nadirdir. Sakroiliak eklem bulguları ve bel ağrısı ayırıcı tanıyı zorlaştırır ve bu nadir durum yanlış tanıya neden olabilir. Olgu Sunumu: Sakrum ve pelvisin sekonder hidatit kistlerinin kalça ağrısına neden olduğu 21 yaşında bayan hasta sunuldu. Başka bir merkezde sakroileit ve siyatik ağrısı tanısı almış ve tedavisi başarısız olan hasta kliniğimize sevk edildi. Fizik muayenesi ve radyolojik testleri sol sakrumdan başlayıp sakroiliak kemiğe uzanan iliak kemik lezyonlarını açığa çıkardı. Sonuç: Medikal tedaviyi takiben, küretaj ve greftleme uygulandı. Lezyondan çıkarılan materyalin makroskopik görünümü ve histopatolojik değerlendirilmesi hidatit hastalık ile uyumluydu. 11 aylık takibinde nüks gözlenmedi ve hasta semptomsuzdu. Tartışma: Erken dönemlerinde kemik hidatik hastalığı yanlış tanı alabilir. Hastalık ilerler ve kemiği destrükte eder. Hidatitk hastalık öyküsü olan ve kas-iskelet şikâyetleri olan hastalarda hidatik kist hastalığı ihtimali akılda tutulmalıdır. Debride edilen vertebrada kalan kavitenin kemik greftiyle doldurulmasının daha güvenilir olduğuna inanıyoruz.
Objective: To describe a rare instance of hydatid cyst that caused severe and progressive low-back pain and misdiagnosed as sacroili itis. Introduction: Hydatid disease or hydatidosis is a serious human cestode infection in the world and has a characteristic geographic distribution. The liver and lungs are most frequently involved organs. Bone involvement is less than 4% in cases. Vertebral hydatid disease is uncommon. Signs of sacroiliac joint and low-back pain cause dif fi culties in diff erential diagnosis and this rare condition may be mis diagnosed. Case Report: A case of a 21-year-old woman with hip pain had been caused by a secondary hydatid cyst of the sacral and pelvic areas. Patient was diagnosed sacroiliitis and sciatica in another center. As treatment for these failed, the patient referred to our clinic. Physical examination and radiological tests revealed iliac bone lesions, which is starting from left sacral area and extending to sacroiliac joint. Results: Following medical treatment, curettage and grafting were performed. Macroscopic image and histopathological evaluation of the material which removed from lesion fi eld was consistent with hydatid disease. No recurrence was detected and patient was symp tom free at 11 months follow up. Conclusions: Bone hydatid disease is misdiagnosed in early periods. It progresses and the bone is de structed. In patients with a history of hydatid disease and with mus culoskeletal complaints, a possible disease of hydatid cyst should be should be kept in mind. And which is safer in management of re maining cavity, bone grafting or acrylic cement? We think that bone grafting is safe in management of remaining cavity.
Objective: To describe a rare instance of hydatid cyst that caused severe and progressive low-back pain and misdiagnosed as sacroili itis. Introduction: Hydatid disease or hydatidosis is a serious human cestode infection in the world and has a characteristic geographic distribution. The liver and lungs are most frequently involved organs. Bone involvement is less than 4% in cases. Vertebral hydatid disease is uncommon. Signs of sacroiliac joint and low-back pain cause dif fi culties in diff erential diagnosis and this rare condition may be mis diagnosed. Case Report: A case of a 21-year-old woman with hip pain had been caused by a secondary hydatid cyst of the sacral and pelvic areas. Patient was diagnosed sacroiliitis and sciatica in another center. As treatment for these failed, the patient referred to our clinic. Physical examination and radiological tests revealed iliac bone lesions, which is starting from left sacral area and extending to sacroiliac joint. Results: Following medical treatment, curettage and grafting were performed. Macroscopic image and histopathological evaluation of the material which removed from lesion fi eld was consistent with hydatid disease. No recurrence was detected and patient was symp tom free at 11 months follow up. Conclusions: Bone hydatid disease is misdiagnosed in early periods. It progresses and the bone is de structed. In patients with a history of hydatid disease and with mus culoskeletal complaints, a possible disease of hydatid cyst should be should be kept in mind. And which is safer in management of re maining cavity, bone grafting or acrylic cement? We think that bone grafting is safe in management of remaining cavity.
Açıklama
Anahtar Kelimeler
Cerrahi, Cyst Hydatid, Surgical Treatment, Spinal Hydatid Infection, Kist Hidatit, Cerrahi Tedavi, Omurga Kist Hidatiti
Kaynak
Journal of Turkish Spinal Surgery
WoS Q Değeri
Scopus Q Değeri
Cilt
24
Sayı
2
Künye
Güzel, Y., Kaçıra, B. K., Göncü, R., Güleç, A., Kütahya, H., Yel, M. (2013). Hydatid cyst of sacrum affecting the sakroiliac joint: A case report. Journal of Turkish Spinal Surgery, 24, 2, 157-160.
