[Echinococcosis of the pelvic bone: four cases].
We report four cases of echinococcosis of the pelvic bone in 3 women and a man aged 30 to 55 years. Disease spread was wide, involving the entire hemipelvis in one case and the sacrum in another making surgical excision difficult. In two cases, computed tomography was highly contributive to diagnosis and assessment of local extension. We used surgical excision and hydrogen peroxide sterilization for the first two case. For the two last cases, we used albendazole in four 4-week cures at a 2-week interval before and after surgery. The clinical course was favorable to these two cases at 3 and 4 years. The albendazole-surgery combination appears to be the best therapeutic option.
Chiboub
H
H
Service de Traumatologie-Orthopédie Avicenne, CHU Ibn Sina Rabat, Maroc.
Boutayeb
F
F
Wahbi
S
S
El Yacoubi
M
M
Ouazzani
N
N
Hermas
M
M
D000328:Adult; D015766:Albendazole / Q000627:therapeutic use; D000891:Anti-Infective Agents, Local / Q000627:therapeutic use; D000923:Anticestodal Agents / Q000627:therapeutic use; D001850:Bone Diseases, Infectious / Q000000981:diagnostic imaging* / Q000628:therapy*; D003131:Combined Modality Therapy; D004443:Echinococcosis / Q000000981:diagnostic imaging* / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006861:Hydrogen Peroxide / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D010027:Osteotomy; D018579:Patient Selection; D010384:Pelvic Bones; D019990:Perioperative Care; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000891:Anti-Infective Agents, Local; D000923:Anticestodal Agents; D006861:Hydrogen Peroxide; D015766:Albendazole