Vizcarra Miguel, Mujica Mijaíl, Sánchez Vladimir, Méndez Paul
Departamento de Neurocirugía. Hospital Nacional Edgardo Rebagliati Martins. Lima, Perú.
Universidad Nacional de Trujillo. Trujillo, Perú.
Rev Peru Med Exp Salud Publica. 2017 Jan-Mar;34(1):126-131. doi: 10.17843/rpmesp.2017.341.2775.
Hydatidosis, caused by Echinococcus granulosus, affects the spinal column in 0.5-2% of all cases, with the sacral column being a rare location typically observed only in adults. The case is reported of a 14-year-old boy from Juliaca (Puno, Peru) who presented with chronic lower back pain and cauda equina syndrome. He was initially attended to in Juliaca, and then transferred to the Hospital Edgardo Rebagliati Martins (Lima, Peru) with a diagnosis of sacral tumor. In magnetic resonance imaging, a multicystic tumor was seen with L5 and S1 lysis and instability. The surgical treatment was an L5- S2 laminectomy and extraction of multiple hydatid cysts followed by lumbopelvic stabilization with transpedicular screws. Post-operatively, he was prescribed albendazol (15 mg/kg/d) for six months. Hydatid cysts should be considered within the differential diagnosis when there are cystic lesions in the spinal column, particularly in endemic areas such as Peru.
由细粒棘球绦虫引起的包虫病在所有病例中累及脊柱的比例为0.5%-2%，骶骨柱是一个罕见部位，通常仅在成人中观察到。本文报道了一名来自秘鲁普诺省胡利亚卡市的14岁男孩，他患有慢性下背痛和马尾综合征。他最初在胡利亚卡接受治疗，随后被转诊至秘鲁利马的埃德加多·雷亚利亚蒂·马丁斯医院，诊断为骶骨肿瘤。磁共振成像显示一个多囊性肿瘤，伴有L5和S1椎体溶解和不稳定。手术治疗为L5-S2椎板切除术，摘除多个包虫囊肿，然后用椎弓根螺钉进行腰骶骨盆固定。术后，给他开了阿苯达唑（15mg/kg/d），持续六个月。当脊柱出现囊性病变时，尤其是在秘鲁等流行地区，应在鉴别诊断中考虑包虫囊肿。
