A CASE OF SACRAL HYDATID CYST AND REVIEW OF LITERATURE
Hamza El Ouagari*, Tarik El Mountassir, Moncef Boufettal, Reda Allah Bassir, Jalal Mekkaoui, Mohamed Kharmaz, Moulay Omar Lamrani and Mohamed Saleh Berrada
ABSTRACT
Hydatic cyst of bone constitutes only 0.5-2% of all hydatidoses. The thoracic spine is the most common site of spinal hydatidoses. Primary hydatic cyst of the sacral spinal canal is rare. A 19-year-old boy had cauda equina syndrome with pelvic pain 15 days ago, the pelvic radiography showed a lytic image depending on the left sacral wing. MRI showed an intra-pelvic cystic image invading the sacrum T1 hypointense and T2W hyperintense. The Hydatid serology was positive. Surgical treatment consisted of a wide drainage of hydatid cavity dug in the left sacral wing, and by which it communicated intra pelvic, with removal of the entire cyst by gentle aspiration, abundant rinsing with hypertonic saline, release of sacred roots encompassed in a puddle of fibrosis hydatid. The evolution was good with recovery of perineal sensation and anal tone. The sacroiliac joint was considered stable and did not require synthesis or reconstruction.
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