Giant primary muscular hydatid cyst with a secondary bone localization.
Primary musculoskeletal hydatidosis is less frequent than hydatidosis of the parenchymal organs. This localization has been little studied and so there is little information in the literature on the subsequent disease evolution. We present a case of primary hydatidosis of the abductor muscle that came to medical attention very late. After complete surgical removal of the huge mass, a secondary bone localization developed, causing a femoral pertrochanteric pathological fracture. The case described is exceptional in view of both the localization and the great size of the primary multi-lobed muscle hydatid cyst. We underline the difficulties of diagnosis and treatment of both the primary muscle localization and the secondary bone recurrence.
Moretti
Biagio
B
Department of Clinical Methodology and Surgical Technique, Orthopedics Section, University of Bari, Piazza G. Cesare 11, Bari, Italy.
Panella
Antonio
A
Moretti
Lorenzo
L
Garofalo
Raffaele
R
Notarnicola
Angela
A
D000368:Aged; D015766:Albendazole / Q000627:therapeutic use; D000818:Animals; D000923:Anticestodal Agents / Q000627:therapeutic use; D001850:Bone Diseases, Infectious / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D004443:Echinococcosis / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D048209:Echinococcus granulosus; D005260:Female; D005598:Fractures, Spontaneous / Q000209:etiology; D006801:Humans; D009135:Muscular Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D013848:Thigh
D000923:Anticestodal Agents; D015766:Albendazole