Volume 30, Issue 141 (July & August 2022)                   J Adv Med Biomed Res 2022, 30(141): 374-378 | Back to browse issues page


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Farzam R, Abdi M, Farhangi M, Zibaei M, Torkmandi H. Educational view of Pathological Fracture of Femur due to Hydatid Cysts: A Case Report and Review of Literature. J Adv Med Biomed Res 2022; 30 (141) :374-378
URL: http://journal.zums.ac.ir/article-1-6425-en.html
1- Dept. of Orthopedics, Faculty of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran
2- Dept. of Critical Care Nursing, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran
3- Mahak s’ Pediatric Cancer Treatment and Research Center, Mahak Hospital, Tehran, Iran
4- Dept. of Parasitology, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
5- Dept. of Operating Room, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran , Hojjat.or@gmail.com
Abstract:   (59604 Views)

Hydatid cysts can be caused by Echinococcus species in various tissues. Skeletal cystic lesions are very rare and may be neglected. Here, we report a case of pathologic fracture following primary hydatid cystic lesions in the proximal and femoral shaft bone. A 62-year-old man suffered a sudden fracture followed by swelling of the thigh. Intramedullary femoral fixation was made and during the surgery, numerous cystic lesions of the hydatid cysts were observed. After  the surgery ultrasound and CT-Scans of the abdomen, lung, spine, and brain did not confirm any sign of mass or cyst elsewhere. The patient was followed up for one year. During this period, the union was not yet completely established and the patient was stillreceiving treatment. Orthopedic surgeons need to be aware of this parasitic complication in bones and joints and provide the best outcome for the patients with proper treatment. Surgery along with albendazole and/or mebendazole  therapy remains the treatment of choice. For this purpose, it is recommended that attention be paid to long-term follow-up in continuous professional development courses.

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 Hydatid cysts can be caused by Echinococcus species in various tissues. Skeletal cystic lesions are very rare and may be neglected. Here, we report a case of pathologic fracture following primary hydatid cystic lesions in the proximal and femoral shaft bone.


Type of Study: Case report | Subject: Clinical medicine
Received: 2021/02/7 | Accepted: 2021/05/16 | Published: 2022/06/30

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