[Echinococcosis from Iliac bone [about one case]]

ABSTRACT

The bony localizations of hydatic desease are less frequent. We have one observation of hydatidosis of the hipbone in a patient of 44 years old, who presented a chronic right coxopathy, in a context of fever, nocturnal sweats and weakening. The VS was accelerated to 50 mm. The NFS was normal and hydatic serology was negative. Standard x-ray showed a moth-eaten aspect of the -fight ilium, calcifications of the adjacent soft part as well as a global-pinch of the right coxofemoral spacing with osteophytesesosteophyteses. the pelvic TDM found out a lyse extension of the right iliac wing to the cotyle, bony sequesters, endo and exopelvic liquid collections. Echoguided puncture had extracted the pus, the bac-teriological exam [germs + BK banals] of which was negative. It is the surgical exploration with histologic study that allowed to put the diagnosis of bony echinococcosis. The bony hydatidosis puts .1 diagnostic problem but especially therapeutic the effectiveness of the medical treatment is controversial and the anatomical conditions of the pelvis don't help the radical surgery and expose to the risk of recidivism