Salman Fnu, Khan Muhammad Ihtesham, Hussain Ishtiaq, Abdullah Hafez Mohammad Ammar
Department of Internal Medicine, Khyber Teaching Hospital, Peshawar, Pakistan.
Department of Pathology, Shifa Hospital, Islamabad, Pakistan.
BMJ Case Rep. 2018 Feb 8;2018:bcr-2017-222980. doi: 10.1136/bcr-2017-222980.
Hydatid disease in humans is caused by It most commonly involves the liver and, to a lesser extent, the lungs and spleen; however, it is known to involve other areas, too. Involvement of bone by hydatid cyst is rare. Here, we describe the case of a 37-year-old woman who presented with pain in the left groin and swelling in the left thigh. The radiological imaging showed a fracture of the femoral neck and cysts in the shaft of the femur. Diagnosis of hydatid cyst was confirmed on the basis of histopathology of biopsy specimens. The patient recovered after surgical excision of the cyst. This case illustrates the various sites and presentations of hydatid cyst disease, and the need to investigate for it if cystic bony lesions are encountered especially in endemic regions, as a delay in diagnosis can lead to long-term morbidity and even death.
人类包虫病是由……引起的。它最常累及肝脏，其次是肺和脾脏；然而，已知它也可累及其他部位。包虫囊肿累及骨骼的情况罕见。在此，我们描述一例37岁女性病例，该患者表现为左腹股沟疼痛和左大腿肿胀。影像学检查显示股骨颈骨折和股骨干囊肿。根据活检标本的组织病理学确诊为包虫囊肿。患者在囊肿手术切除后康复。该病例说明了包虫囊肿病的不同部位和表现，以及在遇到囊性骨病变时，尤其是在流行地区，有必要进行调查，因为诊断延迟可能导致长期发病甚至死亡。
