Bron Johannes L, van Kemenade Folkert J, Verhoof Olaf J W, Wuisman Paul I J M
Department of Orthopaedic Surgery, VU University Medical Centre, Amsterdam, The Netherlands.
Acta Orthop Belg. 2007 Oct;73(5):678-82.
A rare case of a 27-year-old male patient with disseminated sacral hydatidosis is presented. Because the diagnosis was missed initially, the patient underwent only partial resection of the tumour to obtain tissue for histology. The resection was followed by deep wound infection, and re-exploration had to be performed, thereby resecting the remaining cyst tissue and the S1-S3 vertebral bodies. Adjuvant anti-helminthic therapy was started postoperatively. Unfortunately, the hydatid cyst further progressed and could only be controlled with multiple decompression procedures and continuance of anti-helminthic therapy. We review the diagnosis, treatment and prognosis of this uncommon condition, which is a serious challenge for the spinal surgeon.
本文报道了一例27岁男性播散性骶骨包虫病的罕见病例。由于最初漏诊，患者仅接受了肿瘤部分切除术以获取组织进行组织学检查。切除术后发生深部伤口感染，不得不再次手术，切除剩余的囊肿组织和S1-S3椎体。术后开始辅助抗蠕虫治疗。不幸的是，包虫囊肿进一步进展，只能通过多次减压手术和持续抗蠕虫治疗来控制。我们回顾了这种罕见疾病的诊断、治疗和预后，这对脊柱外科医生来说是一个严峻的挑战。
