Article Text

Download PDFPDF
A Typical Low-Back Pain Caused by an Atypical Etiology
  1. Atilla Ergin, M.D.,
  2. Tansel Toker, M.D.,
  3. Omer Yanarates, M.D.,
  4. Ercan Kurt, M.D. and
  5. Erdal M. Guzeldemir, M.D.
  1. Gulhane Military Medical Faculty, Department of Anesthesiology and Reanimation, Ankara, Turkey.
  1. Reprint requests: Atilla Ergin, M.D., GATA Medical Faculty, Department of Anaesthesiology and Reanimation, 06018 Etlik, Ankara, Turkey. E-mail: aergin{at}


Objective: Pain arising in the lumbar spine can have many etiologies, nearly 80% of which cannot be established with certainty. We present a very rare cause of back pain.

Case Report: A 54-year-old woman presented with a 2-month history of low-back pain and right-sided sciatica. Conventional analgesics, physiotherapy, and epidural steroid application had failed to provide relief. She had tenderness of the right sacroiliac joint. Diagnostic fluoroscopic-guided sacroiliac-joint injection with lidocaine did not produce symptomatic relief. Pelvic ultrasonography and magnetic resonance imaging showed septated multilocular hydatic cysts along the sciatic nerve. Surgical exploration noted multicystic lesions along the sciatic nerve woven to the nerve. Her low-back pain disappeared completely after the operation. She received oral albendazole for 6 months to prevent any recurrence of the disease and remains asymptomatic.

Conclusion: Hydatid cyst can be included in the differential diagnosis of lumbar back pain, especially in the endemic areas.

  • Low-back pain
  • Hydatic cysts
  • Hydateidosis

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.