Bone and Intramuscular Hydatid Cysts: A Rare Association

Meriam Benzalim; Meryem Ranib; Soumaya Alj

doi:doi:10.11648/j.ijmi.20221001.11

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Bone and Intramuscular Hydatid Cysts: A Rare Association

Meriam Benzalim, Meryem Ranib, Soumaya Alj

Published in International Journal of Medical Imaging (Volume 10, Issue 1)

Received: 25 December 2021 Accepted: 24 January 2022 Published: 9 February 2022

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Abstract

Background: Hydatidosis is a parasitic disease linked to the development of Echinococcus Granulosus larval form in humans. This anthropozoonosis is characterized by many topographical and evolutionary aspects. Musculoskeletal hydatidosis is rare, it represents only 0.9 to 2.5% of all locations. Objective: the aim of this manuscript is to report a rare case of bone and muscle location of hydatid cyst and show the imaging contribution in its positive diagnosis and pre-therapeutic assessment. Method: We report the observation of a 61-year-old man admitted to our training for a right thigh mass, revealing a muscular hydatid cyst with a concomitant iliac bone location. Result: Ultrasound examination shows an intra muscular cystic lesion, of the Sartorius and rectus femoris muscles, with hydatid membranes inside. A simultaneous bone location, at the ipsilateral iliac bone, was fortuitously discovered on CT scan and MRI exploration, which show a multicystic lytic lesion with cystic signal and round daughter cysts on MRI examination. A complementary X-ray of the pelvis shows the classic "honeycomb" appearance of the right iliac bone. A positive hydatid serology confirmed the diagnosis. No concomitant hepatic or pulmonary localization was demonstrated on abdominal ultrasound and chest CT scan. An anthelminthic therapy (Albendazole) was started, and the patient was a candidate for further surgical treatment. Conclusion: Musculoskeletal hydatid cyst location is rare. The Hydatid osteopathy is usually infiltrative, slow and progressive, which makes diagnosis late and compromises the quality of treatment. So, despite its rarity; musculoskeletal hydatid cyst should always be considered in the differential diagnosis of cystic lesions in endemic areas.

Published in	International Journal of Medical Imaging (Volume 10, Issue 1)
DOI	10.11648/j.ijmi.20221001.11
Page(s)	1-4
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Bone Cyst, Hydatid Disease, Muscle

References

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[2]	Muratori F, De Gori M, D’Arienzo A, Bettini L, Roselli G, Campanacci DA, Capanna R. Hydatid cyst in the vastus lateralis muscle: a case report. Clinical Cases in Mineral and Bone Metabolism. 2017; 14 (2): 262-264.
[3]	Arti H, Darani HY. Fibular hydatid cyst. IJO. 2007; 41 (3).
[4]	Monge-Maillo B, Samperio MO, Pérez-Molina JA, et al. Osseous cystic echinococcosis: a case series study at a referral unit in Spain. PLoS Negl Trop Dis 2019; 13: e0007006.
[5]	Kurz, K., Schwabegger, A., Schreieck, S. et al. Cystic echinococcosis in the thigh: a case report. Infection. 2019; 47: 323–329. Doi.org/10.1007/s15010-018-1255-9.
[6]	Akhan O, Yildiz O, Unal E, Ciftci TT, Akinci D. Percutaneous Treatment of Bone Hydatid Cyst. Cardiovasc Intervent Radiol. 2021 Jul; 44 (7): 1131-1134. doi: 10.1007/)0270-021-02796-3. Epub 2021 Mar 15. PMID: 33723665.
[7]	Oğur HU, Kapukaya R, Külahçı Ö, Yılmaz C, Yüce K, Tuhanioğlu Ü. Evaluation of radiologic diagnostic criteria and treatment options in skeletal muscle hydatid cysts. J Orthop Surg (Hong Kong). 2019; 27 (3): 1-6. doi: 10.1177/2309499019881219. PMID: 31684830.
[8]	Khasawneh R. A, Mohaidat Z. M, Khasawneh R. A. et al. Unusual intramuscular locations as a first presentation of hydatid cyst disease in children: a report of two cases. BMC Pediatr. 2021; 21: 371. Doi: 10.1186/s12887-021-02843-5.
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[12]	Mseddi MB, Mseddi M, Siala A, Dahmene J, Ben Hamida R, Ben Ayeche M. Hydatid cysts in muscles: Eleven cases. Rev Chir Orthop Reparatrice Appart Mot. 2005; 91: 267-271.
[13]	Atalar M. H, Cankorkma L, Köylüoğlu G, Salk I. Imaging characteristics of three primary muscular hydatid cyst cases with various patterns. Kafkas Journal of Medical Sciences. 2012; 2: 74-76.
[14]	Reddy IV, Kumar HA, Samorekar B and al. Complicated Hydatid Cyst of Ulna- A Rare Case Report. Journal of Clinical and Diagnostic Research. 2017; 11 (5): RD01-RD03.
[15]	Boussaid S, Daldoul C, Hassayoun M, Rekik S, Jammali S, Sahli H, Elleuch M. Primitive pelvic bone hydatidosis: What an amazing extension. Clin Case Rep. 2021; 9 (12): e05054. doi: 10.1002/ccr3.5054. PMID: 34938540; PMCID: PMC8665691.
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APA Style

Meriam Benzalim, Meryem Ranib, Soumaya Alj. (2022). Bone and Intramuscular Hydatid Cysts: A Rare Association. International Journal of Medical Imaging, 10(1), 1-4. https://doi.org/10.11648/j.ijmi.20221001.11

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ACS Style

Meriam Benzalim; Meryem Ranib; Soumaya Alj. Bone and Intramuscular Hydatid Cysts: A Rare Association. Int. J. Med. Imaging 2022, 10(1), 1-4. doi: 10.11648/j.ijmi.20221001.11

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AMA Style

Meriam Benzalim, Meryem Ranib, Soumaya Alj. Bone and Intramuscular Hydatid Cysts: A Rare Association. Int J Med Imaging. 2022;10(1):1-4. doi: 10.11648/j.ijmi.20221001.11

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@article{10.11648/j.ijmi.20221001.11,
  author = {Meriam Benzalim and Meryem Ranib and Soumaya Alj},
  title = {Bone and Intramuscular Hydatid Cysts: A Rare Association},
  journal = {International Journal of Medical Imaging},
  volume = {10},
  number = {1},
  pages = {1-4},
  doi = {10.11648/j.ijmi.20221001.11},
  url = {https://doi.org/10.11648/j.ijmi.20221001.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20221001.11},
  abstract = {Background: Hydatidosis is a parasitic disease linked to the development of Echinococcus Granulosus larval form in humans. This anthropozoonosis is characterized by many topographical and evolutionary aspects. Musculoskeletal hydatidosis is rare, it represents only 0.9 to 2.5% of all locations. Objective: the aim of this manuscript is to report a rare case of bone and muscle location of hydatid cyst and show the imaging contribution in its positive diagnosis and pre-therapeutic assessment. Method: We report the observation of a 61-year-old man admitted to our training for a right thigh mass, revealing a muscular hydatid cyst with a concomitant iliac bone location. Result: Ultrasound examination shows an intra muscular cystic lesion, of the Sartorius and rectus femoris muscles, with hydatid membranes inside. A simultaneous bone location, at the ipsilateral iliac bone, was fortuitously discovered on CT scan and MRI exploration, which show a multicystic lytic lesion with cystic signal and round daughter cysts on MRI examination. A complementary X-ray of the pelvis shows the classic "honeycomb" appearance of the right iliac bone. A positive hydatid serology confirmed the diagnosis. No concomitant hepatic or pulmonary localization was demonstrated on abdominal ultrasound and chest CT scan. An anthelminthic therapy (Albendazole) was started, and the patient was a candidate for further surgical treatment. Conclusion: Musculoskeletal hydatid cyst location is rare. The Hydatid osteopathy is usually infiltrative, slow and progressive, which makes diagnosis late and compromises the quality of treatment. So, despite its rarity; musculoskeletal hydatid cyst should always be considered in the differential diagnosis of cystic lesions in endemic areas.},
 year = {2022}
}

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TY - JOUR
T1 - Bone and Intramuscular Hydatid Cysts: A Rare Association
AU - Meriam Benzalim
AU - Meryem Ranib
AU - Soumaya Alj
Y1 - 2022/02/09
PY - 2022
N1 - https://doi.org/10.11648/j.ijmi.20221001.11
DO - 10.11648/j.ijmi.20221001.11
T2 - International Journal of Medical Imaging
JF - International Journal of Medical Imaging
JO - International Journal of Medical Imaging
SP - 1
EP - 4
PB - Science Publishing Group
SN - 2330-832X
UR - https://doi.org/10.11648/j.ijmi.20221001.11
AB - Background: Hydatidosis is a parasitic disease linked to the development of Echinococcus Granulosus larval form in humans. This anthropozoonosis is characterized by many topographical and evolutionary aspects. Musculoskeletal hydatidosis is rare, it represents only 0.9 to 2.5% of all locations. Objective: the aim of this manuscript is to report a rare case of bone and muscle location of hydatid cyst and show the imaging contribution in its positive diagnosis and pre-therapeutic assessment. Method: We report the observation of a 61-year-old man admitted to our training for a right thigh mass, revealing a muscular hydatid cyst with a concomitant iliac bone location. Result: Ultrasound examination shows an intra muscular cystic lesion, of the Sartorius and rectus femoris muscles, with hydatid membranes inside. A simultaneous bone location, at the ipsilateral iliac bone, was fortuitously discovered on CT scan and MRI exploration, which show a multicystic lytic lesion with cystic signal and round daughter cysts on MRI examination. A complementary X-ray of the pelvis shows the classic "honeycomb" appearance of the right iliac bone. A positive hydatid serology confirmed the diagnosis. No concomitant hepatic or pulmonary localization was demonstrated on abdominal ultrasound and chest CT scan. An anthelminthic therapy (Albendazole) was started, and the patient was a candidate for further surgical treatment. Conclusion: Musculoskeletal hydatid cyst location is rare. The Hydatid osteopathy is usually infiltrative, slow and progressive, which makes diagnosis late and compromises the quality of treatment. So, despite its rarity; musculoskeletal hydatid cyst should always be considered in the differential diagnosis of cystic lesions in endemic areas.
VL - 10
IS - 1
ER -

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Author Information

Meriam Benzalim

Radiology Department, Faculty of Medicine and Pharmacy, Ibn Tofail Hospital, Mohamed VIth University Hospital, Cadi Ayyad University, Marrakech, Morocco
Meryem Ranib

Radiology Department, Faculty of Medicine and Pharmacy, Ibn Tofail Hospital, Mohamed VIth University Hospital, Cadi Ayyad University, Marrakech, Morocco
Soumaya Alj

Radiology Department, Faculty of Medicine and Pharmacy, Ibn Tofail Hospital, Mohamed VIth University Hospital, Cadi Ayyad University, Marrakech, Morocco

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APA Style

Meriam Benzalim, Meryem Ranib, Soumaya Alj. (2022). Bone and Intramuscular Hydatid Cysts: A Rare Association. International Journal of Medical Imaging, 10(1), 1-4. https://doi.org/10.11648/j.ijmi.20221001.11

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ACS Style

Meriam Benzalim; Meryem Ranib; Soumaya Alj. Bone and Intramuscular Hydatid Cysts: A Rare Association. Int. J. Med. Imaging 2022, 10(1), 1-4. doi: 10.11648/j.ijmi.20221001.11

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AMA Style

Meriam Benzalim, Meryem Ranib, Soumaya Alj. Bone and Intramuscular Hydatid Cysts: A Rare Association. Int J Med Imaging. 2022;10(1):1-4. doi: 10.11648/j.ijmi.20221001.11

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@article{10.11648/j.ijmi.20221001.11,
  author = {Meriam Benzalim and Meryem Ranib and Soumaya Alj},
  title = {Bone and Intramuscular Hydatid Cysts: A Rare Association},
  journal = {International Journal of Medical Imaging},
  volume = {10},
  number = {1},
  pages = {1-4},
  doi = {10.11648/j.ijmi.20221001.11},
  url = {https://doi.org/10.11648/j.ijmi.20221001.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20221001.11},
  abstract = {Background: Hydatidosis is a parasitic disease linked to the development of Echinococcus Granulosus larval form in humans. This anthropozoonosis is characterized by many topographical and evolutionary aspects. Musculoskeletal hydatidosis is rare, it represents only 0.9 to 2.5% of all locations. Objective: the aim of this manuscript is to report a rare case of bone and muscle location of hydatid cyst and show the imaging contribution in its positive diagnosis and pre-therapeutic assessment. Method: We report the observation of a 61-year-old man admitted to our training for a right thigh mass, revealing a muscular hydatid cyst with a concomitant iliac bone location. Result: Ultrasound examination shows an intra muscular cystic lesion, of the Sartorius and rectus femoris muscles, with hydatid membranes inside. A simultaneous bone location, at the ipsilateral iliac bone, was fortuitously discovered on CT scan and MRI exploration, which show a multicystic lytic lesion with cystic signal and round daughter cysts on MRI examination. A complementary X-ray of the pelvis shows the classic "honeycomb" appearance of the right iliac bone. A positive hydatid serology confirmed the diagnosis. No concomitant hepatic or pulmonary localization was demonstrated on abdominal ultrasound and chest CT scan. An anthelminthic therapy (Albendazole) was started, and the patient was a candidate for further surgical treatment. Conclusion: Musculoskeletal hydatid cyst location is rare. The Hydatid osteopathy is usually infiltrative, slow and progressive, which makes diagnosis late and compromises the quality of treatment. So, despite its rarity; musculoskeletal hydatid cyst should always be considered in the differential diagnosis of cystic lesions in endemic areas.},
 year = {2022}
}

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