title: Giant primary muscular hydatid cyst with a secondary bone localization.
abstract: 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.
authors.affiliation: Department of Clinical Methodology and Surgical Technique, Orthopedics Section, University of Bari, Piazza G. Cesare 11, Bari, Italy.
authors.forename: Biagio
authors.initials: B
authors.lastname: Moretti
authors.forename: Antonio
authors.initials: A
authors.lastname: Panella
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Moretti
authors.forename: Raffaele
authors.initials: R
authors.lastname: Garofalo
authors.forename: Angela
authors.initials: A
authors.lastname: Notarnicola
mesh_terms: 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
chemical_list: D000923:Anticestodal Agents; D015766:Albendazole