Acetabular Hydatid Cyst in a Teenage Girl: A Rare Manifestation and Successful Long-Term Management With Combined Surgical and Anthelmintic Approaches

IF 1.5 Q3 ORTHOPEDICS

Arthroplasty Today Pub Date : 2024-10-11 DOI:10.1016/j.artd.2024.101521

Mohammadreza Razzaghof MD, MPH , Mohammad Soleimani MD, MPH , Mohammad Poursalehian MD , Mohammadreza Barzegar MD , Sirous Jafari MD , Seyed Mohammad Javad Mortazavi MD

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引用次数: 0

Abstract

Hydatid disease is a zoonotic infestation caused by the Echinococcus, with extremely rare bone involvement. We present a case of acetabular hydatid cyst in a 16-year-old girl who initially underwent wide surgical excision, adjuvant ablation, and local administration of anthelminthic agent followed by systemic anthelmintic therapy. After 5 years, due to the development of degenerative joint disease and as infection was suspected intraoperatively, a 2-stage total hip arthroplasty was performed. The patient’s prosthesis remained stable and well fixed, and she is now fully functional at the 12-year follow-up. The consideration of hydatid disease in the differential diagnosis of destructive bone lesions, particularly in endemic areas, is crucial for timely detection and effective treatment. This case report highlights the challenges in the surgical treatment of periacetabular bone hydatidosis.

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一名少女的髋臼包虫囊肿：罕见病例和手术与驱虫药联合疗法的长期成功治疗

包虫病是由棘球蚴引起的人畜共患传染病，骨骼受累极为罕见。我们报告了一例髋臼包虫囊肿病例，患者是一名 16 岁的女孩，最初接受了大范围手术切除、辅助消融、局部使用驱虫药和全身驱虫药治疗。5 年后，由于出现关节退行性病变，且术中怀疑感染，患者接受了两阶段全髋关节置换术。患者的假体保持稳定，固定良好，随访 12 年后已完全恢复功能。在破坏性骨病变的鉴别诊断中考虑包虫病，尤其是在流行地区，对于及时发现和有效治疗至关重要。本病例报告强调了手术治疗髋臼周围骨水包虫病的挑战。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Arthroplasty Today Medicine-Surgery

CiteScore

2.90

自引率

0.00%

发文量

258

审稿时长

40 weeks

期刊介绍： Arthroplasty Today is a companion journal to the Journal of Arthroplasty. The journal Arthroplasty Today brings together the clinical and scientific foundations for joint replacement of the hip and knee in an open-access, online format. Arthroplasty Today solicits manuscripts of the highest quality from all areas of scientific endeavor that relate to joint replacement or the treatment of its complications, including those dealing with patient outcomes, economic and policy issues, prosthetic design, biomechanics, biomaterials, and biologic response to arthroplasty. The journal focuses on case reports. It is the purpose of Arthroplasty Today to present material to practicing orthopaedic surgeons that will keep them abreast of developments in the field, prove useful in the care of patients, and aid in understanding the scientific foundation of this subspecialty area of joint replacement. The international members of the Editorial Board provide a worldwide perspective for the journal''s area of interest. Their participation ensures that each issue of Arthroplasty Today provides the reader with timely, peer-reviewed articles of the highest quality.