Bone and Intramuscular Hydatid Cysts: A Rare Association
Meriam Benzalim,
Meryem Ranib,
Soumaya Alj
Issue:
Volume 10, Issue 1, March 2022
Pages:
1-4
Received:
25 December 2021
Accepted:
24 January 2022
Published:
9 February 2022
Abstract: Background: Hydatidosis is a parasitic disease linked to the development of Echinococcus Granulosus larval form in humans. This anthropozoonosis is characterized by many topographical and evolutionary aspects. Musculoskeletal hydatidosis is rare, it represents only 0.9 to 2.5% of all locations. Objective: the aim of this manuscript is to report a rare case of bone and muscle location of hydatid cyst and show the imaging contribution in its positive diagnosis and pre-therapeutic assessment. Method: We report the observation of a 61-year-old man admitted to our training for a right thigh mass, revealing a muscular hydatid cyst with a concomitant iliac bone location. Result: Ultrasound examination shows an intra muscular cystic lesion, of the Sartorius and rectus femoris muscles, with hydatid membranes inside. A simultaneous bone location, at the ipsilateral iliac bone, was fortuitously discovered on CT scan and MRI exploration, which show a multicystic lytic lesion with cystic signal and round daughter cysts on MRI examination. A complementary X-ray of the pelvis shows the classic "honeycomb" appearance of the right iliac bone. A positive hydatid serology confirmed the diagnosis. No concomitant hepatic or pulmonary localization was demonstrated on abdominal ultrasound and chest CT scan. An anthelminthic therapy (Albendazole) was started, and the patient was a candidate for further surgical treatment. Conclusion: Musculoskeletal hydatid cyst location is rare. The Hydatid osteopathy is usually infiltrative, slow and progressive, which makes diagnosis late and compromises the quality of treatment. So, despite its rarity; musculoskeletal hydatid cyst should always be considered in the differential diagnosis of cystic lesions in endemic areas.
Abstract: Background: Hydatidosis is a parasitic disease linked to the development of Echinococcus Granulosus larval form in humans. This anthropozoonosis is characterized by many topographical and evolutionary aspects. Musculoskeletal hydatidosis is rare, it represents only 0.9 to 2.5% of all locations. Objective: the aim of this manuscript is to report a r...
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Estimation of the Chronological Age by Demirjian’s Method Among Children in Cotonou
Cedric Egnonwa Bigot,
Sonia Bignon Adjadohoun,
David Djossou,
Nicole Enianloko-Tchiakpe,
Sylvie Arlette Bancole Pognon,
Savi de Tove Koffi-Mensa
Issue:
Volume 10, Issue 1, March 2022
Pages:
5-9
Received:
17 January 2022
Accepted:
18 February 2022
Published:
28 February 2022
Abstract: In Benin, violations of child rights are common. Age estimation is a question referred for a preliminary ruling before the courts which have jurisdiction over major offenses and crimes committed against children’s rights. The age estimation methods based on dental maturity and development are widely used. However, they require local validation. This research work aimed to test the applicability of Demirjian’s standards among children living in the city of Cotonou. This study uses a randomized sample of 563 orthopantomograms of children aged 3 to 17 years performed in Cotonou. Dental age has been estimated based on Demirjian’s standards. The reproducibility and repeatability of the method have been assessed. The differences between civil age and dental age as well as their correlation were tested. We noticed good repeatability (Kappa=0.89) and good reproducibility (Kappa =0.85) of the method. In boys of all age groups, the average difference between civil age and dental age was estimated at 0.68 years (CI95%; -0.87 to -0.49); among girls, that difference was estimated at 1.07 years (CI95%; 0.83 to 1.32). The correlation between dental age and civil age was high (R=0.89). A linear regression equation has been established to address the overestimation gap. According to our findings the Demirjian method may be used in Cotonou in a forensic context with one correction factor.
Abstract: In Benin, violations of child rights are common. Age estimation is a question referred for a preliminary ruling before the courts which have jurisdiction over major offenses and crimes committed against children’s rights. The age estimation methods based on dental maturity and development are widely used. However, they require local validation. Thi...
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