Tapia E Oscar, Vidal T Aarón, Bellolio J Enrique, Roa S Juan Carlos
Departamento de anatomía Patológica, Facultad de Medicina, Universidad de la Frontera, Temuco, Chile.
Rev Med Chil. 2010 Nov;138(11):1414-21. Epub 2011 Jan 27.
Bone location of hydatid cysts occurs in 0.5 to 3% of all cases of hydatidosis. The most common bones involved are spine, long bones and pelvis. We report five patients with bone hydatidosis. A 24-year-old male consulting for paraparesis and numbness of lower limbs; CAT scan showed hydatid cysts located in D2, D3 and D4 vertebral bodies. A 47-year-old male consulting for a fracture of the femur; X rays disclosed multiple hydatid cysts in the femur. A 13-year-old female consulting for claudication of the right lower limb; X ray examination showed a hydatid cyst in the iliac bone. A 21-year-old women presenting with weakness of the lower limbs and voiding problems; CAT scan showed a vertebral hydatidosis and spinal cord compression. A 67-year-old female presenting with weakness of the lower limb and loss of sphincter control; CAT scan showed hydatid cysts in D4 vertebral body.
包虫囊肿的骨部位发生在所有包虫病病例的0.5%至3%。最常受累的骨骼是脊柱、长骨和骨盆。我们报告了5例骨包虫病患者。一名24岁男性因双下肢轻瘫和麻木前来就诊；计算机断层扫描显示包虫囊肿位于D2、D3和D4椎体。一名47岁男性因股骨骨折前来就诊；X线显示股骨有多个包虫囊肿。一名13岁女性因右下肢跛行前来就诊；X线检查显示髂骨有一个包虫囊肿。一名21岁女性出现下肢无力和排尿问题；计算机断层扫描显示椎体包虫病和脊髓受压。一名67岁女性出现下肢无力和括约肌控制丧失；计算机断层扫描显示D4椎体有包虫囊肿。
