Tumoración inguinal: una forma de presentación de la hidatidosis ósea. A propósito de un caso / Inguinal tumor: a rare occurrence of hydatid disease. A case report

La enfermedad hidatídica ósea es una entidad infrecuente que representa el 0,5-2,5% de todas las hidatidosis. Las vértebras son los huesos más comúnmente afectados (50%) seguidos de la pelvis (25%) y de los huesos largos (15-25%). Las manifestaciones clínicas aparecen cuando existe una gran destrucción ósea o complicaciones, por lo que el diagnóstico se realiza generalmente en estadios tardíos mediante técnicas de imagen y en ocasiones de manera intraoperatoria. El tratamiento en los casos operables es la extirpación quirúrgica pudiendo asociar tratamiento medico con albendazol. Presentamos el caso de un paciente con hidatidosis ósea, localizada en la pelvis, en ausencia de afectación de otros órganos. El paciente presenta como única manifestación clínica una tumoración inguinal derecha y es intervenido quirúrgicamente ante la sospecha de una hernia inguinal complicada con el hallazgo intraoperatorio de hidatidosis pélvica

Osseous hydatid disease is an infrequent entity that represents 0.5-2.5% of all hydatidoses. The vertebrae are the most commonly affected bones (50%), followed by the pelvis (25%) and the long bones (15-25%). The clinical manifestations appear when there is large scale osseous destruction or complications, which is why the diagnosis is generally made in late stages through imaging techniques and on occasion in an intra-operational form. Treatment in operable cases is by surgical extirpation, which can be associated with medical treatment with albendazol. We present the case of a patient with osseous hydatidosis, localised in the pelvis, with an absence of other affected organs. The only clinical manifestation presented by the patient was an inguinal tumour on the right side. The patient received a clinical intervention facing the suspicion of an inguinal hernia, complicated by the intra-operational discovery of pelvic hydatidosis

[Inguinal tumor: a rare occurrence of hydatid disease. A case report]. / Tumoración inguinal: una forma de presentación de la hidatidosis ósea. A propósito de un caso.

Osseous hydatid disease is an infrequent entity that represents 0.5-2.5% of all hydatidoses. The vertebrae are the most commonly affected bones (50%), followed by the pelvis (25%) and the long bones (15-25%). The clinical manifestations appear when there is large scale osseous destruction or complications, which is why the diagnosis is generally made in late stages through imaging techniques and on occasion in an intra-operational form. Treatment in operable cases is by surgical extirpation, which can be associated with medical treatment with albendazol. We present the case of a patient with osseous hydatidosis, localised in the pelvis, with an absence of other affected organs. The only clinical manifestation presented by the patient was an inguinal tumour on the right side. The patient received a clinical intervention facing the suspicion of an inguinal hernia, complicated by the intra-operational discovery of pelvic hydatidosis.