Subject(s)
Bone Neoplasms/diagnosis , Elbow/pathology , Osteoma, Osteoid/diagnosis , Pain/etiology , Adult , Athletes , Bone Neoplasms/pathology , Humans , Male , Osteoma, Osteoid/pathologyABSTRACT
We report a rare case of 50-year-old Moroccan woman with local recurrence of a subcutaneous hydatid cyst in proximity to the medial surface of the tibia and another cyst at the tibialis posterior muscle in the absence of liver, lung und spleen involvement. The first surgery was done in another hospital three years ago; no adjuvant treatment was performed after surgery. Recurrence was diagnosed according to the MRI appearance, serological and pathological findings. The patient underwent complete excision of the subcutaneous cyst with two centimeters of the medial gastrocnemius muscle; the tibialis posterior muscle cyst was intraoperatively drained and irrigated with scolicidal agent as it was next to the posterior tibial pedicle. A periopertive anthelmintic chemotherapy was administered. Two years after the patient showed no recurrence. This case report and literature review describe an approach to the diagnosis and management of this pathological entity.
Subject(s)
Anthelmintics/administration & dosage , Echinococcosis/diagnosis , Leg/parasitology , Combined Modality Therapy , Echinococcosis/drug therapy , Echinococcosis/surgery , Female , Humans , Leg/surgery , Magnetic Resonance Imaging , Middle Aged , Muscle, Skeletal/parasitology , Muscle, Skeletal/surgery , RecurrenceABSTRACT
Synovial chondromatosis is a rare disease of unknown etiology. It usually occurs unilaterally in the large joints like the knee, but may occur in the shoulder, elbow, hip, ankle and temporomandibular joints. The disease is usually intracapsular, but can also be extracapsular on rare occasions. The diagnosis of synovial chondromatosis is given after an anamnesis, physical examination and radiographic examination. However, the diagnosis is obtained after histological examination of the synovial tissue. We report an unusual presentation of bilateral synovial chondromatosis in the knee joint, with both intra and extracapsular localization. never described in the literature. Although synovial chondromatosis is described as a benign disease, it can be very destructive and debilitating. These lesions can mimic a malignant tumor and present a diagnostic problem.
Subject(s)
Chondromatosis, Synovial/complications , Chondromatosis, Synovial/diagnostic imaging , Knee Joint , Adult , Chondromatosis, Synovial/pathology , Humans , Male , RadiographyABSTRACT
Bifocal musculoskeletal tuberculosis is a rare presentation of the disease. The following report documents the case of a 28-year-old Moroccan man presenting simultaneously with a swelling of the palm of the hand and the sternoclavicular joint. The HIV serology and hepatitis (B, C) serology were negative, as well as the tuberculin skin test. The radiographs of both locations were normal. The histopathology confirmed the diagnosis. The antibacillary chemotherapy produces excellent results. It is therefore indispensable to bear in mind the possibility of such atypical presentations of tuberculosis when making a rapid and pertinent diagnosis and prescribing the appropriate treatment.
