The value of plain film findings in hydatid disease of bone

doi:10.1016/S0009-9260(05)81136-5

Clinical Radiology

Volume 47, Issue 4, April 1993, Pages 265-268

https://doi.org/10.1016/S0009-9260(05)81136-5 Get rights and content

The radiographic features of hydatid disease of bone have been reviewed in 16 Kuwaiti patients. The majority of the lesions were in the lower limb or pelvis, and the commonest presentation was with a pathological fracture. The radiological signs seen most often were lucent lesions in the bone, associated with expansion of the bone and thinning of the cortex. In patients with these signs soft tissue calcification appeared to be highly suggestive of hydatid disease. The disease was diagnosed before operation in only half the patients.

In areas where the disease in endemic hydatid disease should be suspected when the lesions described are seen on plain films.

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Citation Excerpt :
A diagnosis cannot be obtained only by clinical presentation and further tools are needed to confirm the diagnosis. These include plain radiographs, taking into consideration that only 38% of patients will show soft tissue masses and calcification via plain radiography [15,16]. Ultrasonography is considered the gold standard and magnetic resonance imaging is more valuable in terms of confirming the diagnosis.
Hydatid cyst is a parasitic disease caused by Echinococcus that is mostly found in the Mediterranean and Gulf States regions. Hydatid cysts usually arise in the liver and lungs but rarely occur in the forearm.
In this report, we present a rare case of a solitary intramuscular forearm hydatid cyst in a 32-year-old woman. The cyst exhibited positive radiological findings and was treated surgically, leading to a complete resolution of the patient’s symptoms with no history of recurrence.
This case was unique because although the patient presented in her fourth decade of life and lived in a Gulf country, the hydatid cyst was in a solitary and unusual location and had been present for one year. It had all positive findings in a radiological investigation without any signs of systemic illness. Additionally, the cyst was attached to the median nerve and a complete excision was performed without affecting the nerve.
By reporting this rare case of a solitary intramuscular forearm hydatid cyst, we aim to increase the awareness of unusual sites for the appearance of hydatid cysts.
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View full text

The value of plain film findings in hydatid disease of bone

Surgery and Neurology

Hydatid disease of bone in Australasia

Journal of Bone and Joint Surgery

Osseous hydatidosis

Journal of Bone and Joint Surgery

Hydatid disease in Kuwait

British Medical Journal

The management of hydatid disease

Journal of Bone and Joint Surgery

Pathology in the tropics

Vertebral hydatid disease: clinical experience with 27 cases

Journal of Neurosurgery