Calvo A M, Cires J M, Montón S, Sarasibar H, Lasanta P, Artázcoz F J
Servicio de Cirugía General y Aparato Digestivo, Hospital García Orcoyen, Estella, Spain.
An Sist Sanit Navar. 2007 Sep-Dec;30(3):475-9. doi: 10.4321/s1137-66272007000500013.
Osseous hydatid disease is an infrequent entity that represents 0.5-2.5% of all hydatidoses. The vertebrae are the most commonly affected bones (50%), followed by the pelvis (25%) and the long bones (15-25%). The clinical manifestations appear when there is large scale osseous destruction or complications, which is why the diagnosis is generally made in late stages through imaging techniques and on occasion in an intra-operational form. Treatment in operable cases is by surgical extirpation, which can be associated with medical treatment with albendazol. We present the case of a patient with osseous hydatidosis, localised in the pelvis, with an absence of other affected organs. The only clinical manifestation presented by the patient was an inguinal tumour on the right side. The patient received a clinical intervention facing the suspicion of an inguinal hernia, complicated by the intra-operational discovery of pelvic hydatidosis.
骨包虫病是一种罕见疾病,占所有包虫病的0.5%-2.5%。脊椎是最常受累的骨骼(50%),其次是骨盆(25%)和长骨(15%-25%)。当出现大规模骨质破坏或并发症时才会出现临床表现,这就是为什么通常在晚期通过影像学技术进行诊断,有时也会在手术中诊断。可手术病例的治疗方法是手术切除,可联合使用阿苯达唑进行药物治疗。我们报告一例骨盆局限性骨包虫病患者,无其他受累器官。患者唯一的临床表现是右侧腹股沟肿物。患者因疑似腹股沟疝接受临床干预,术中发现骨盆包虫病。