Maalej S, Belhabib D, Hantous S, Fenniche S, Ammar A, Hammami S, Megdiche M-L
Service de Pneumologie Ibn Nafiss, Hôpital Abderrahmen, Mami Ariana, Tunisie.
Rev Mal Respir. 2003 Sep;20(4):614-7.
Hydatid disease of bone is very rare accounting for 0.5% - 3% of all localisations.
We report the case of a woman of 30 years who presented with posterior chest pain. The chest radiograph showed an extra-pulmonary mass associated with a lytic rib lesion. Thoracic ultrasound revealed a multiloculated soft tissue and fluid mass. CT scan showed a fluid filled costo-vertebral cyst. MRI identified extension into the spinal canal. Pathological examination of the surgically resected material confirmed the diagnosis.
This observation emphasises the role of MRI in assessing the extent of hydatid cysts of the posterior chest wall and in particular invasion of the spinal canal.
骨包虫病非常罕见，占所有发病部位的0.5% - 3%。
我们报告一例30岁女性，表现为后胸痛。胸部X线片显示一个肺外肿块，伴有肋骨溶骨性病变。胸部超声显示一个多房性软组织和液性肿块。CT扫描显示一个充满液体的肋椎囊肿。MRI显示病变延伸至椎管。对手术切除标本的病理检查确诊了该病。
本病例强调了MRI在评估后胸壁包虫囊肿范围，尤其是椎管侵犯方面的作用。
