Pathological femoral neck fracture caused by an echinococcus cyst of the vastus lateralis - case report

BMC Infectious Diseases

Case Report

Krisztián Sisák¹  Kálmán Tóth¹  Loránt Bardócz²  János Csotye² 

[1] Department of Orthopaedics, University of Szeged, 6 Semmelweis Street, 6720, Szeged, Hungary;Department of Traumatology, Békés County Hospital, 1 Semmelweis Street, 5700, Gyula, Hungary;

关键词: echinococcus;    cyst;    femur;    fracture;    prosthesis;   

DOI  :  10.1186/1471-2334-11-103

 received in 2010-11-12, accepted in 2011-04-21,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundMusculoskeletal hydatid cysts are rare, but being locally invasive, can potentially cause significant deformity or pathological fracture.Case presentationA 39 y.o. male presented to our orthopaedic outpatient clinic complaining of severe right hip pain, and inability to ambulate. Symptoms were not preceded by trauma. Subsequent imaging confirmed a large, 17 × 3 × 5 cm echinococcus cyst in the vastus lateralis, causing erosion of the proximal metaphysis of the femur. As a consequence the patient suffered a non-traumatic pathological intertrochanteric femur fracture. The patient was treated with an en-bloc excision of the lesion - the affected soft tissue envelope containing the large cyst - and as a second surgical step a cemented total hip replacement (THR) was implanted under the same anaesthetic.The manuscript reviews the literature regarding musculoskeletal hydatid disease.

【 授权许可】

Unknown   
© Csotye et al; licensee BioMed Central Ltd. 2011. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.