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We report a case of a 49\u2010year\u2010old man presenting with one\u2010year history of a progressive left hip pain. On local examination, there was tenderness in the left gluteal region with reduction in the hip range of motion. Pelvic X\u2010ray revealed an expansive bone destruction involving the left hemi pelvis without periosteal reaction. A magnetic resonance imaging showed multiple cystic lesions extending from pelvic bones to the gluteal region. The possibility of hydatid disease was raised, and hydatid serology test was positive. No visceral involvement was found by additional examinations investigations revealed visceral hydatidosis. Thus, the diagnosis of a primary bone hydatid disease was established. No surgical excision was possible, and the patient was put on Albendazole. Echinococcosis should be ruled out while dealing with progressive expansive bony lesions. Surgical management remains a challenge especially if the involvement is very extensive.<\/jats:p>","DOI":"10.1002\/ccr3.5054","type":"journal-article","created":{"date-parts":[[2021,12,11]],"date-time":"2021-12-11T14:19:41Z","timestamp":1639232381000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Primitive pelvic bone hydatidosis: What an amazing extension"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9185-1710","authenticated-orcid":false,"given":"Soumaya","family":"Boussaid","sequence":"first","affiliation":[{"name":"Rheumatology Department Rabta Hospital Tunis Tunisia"},{"name":"Faculty of Medicine of Tunis University Tunis el Manar Tunis Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cyrine","family":"Daldoul","sequence":"additional","affiliation":[{"name":"Rheumatology Department Rabta Hospital Tunis Tunisia"},{"name":"Faculty of Medicine of Tunis University Tunis el Manar Tunis Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maroua","family":"Hassayoun","sequence":"additional","affiliation":[{"name":"Rheumatology Department Rabta Hospital Tunis Tunisia"},{"name":"Faculty of Medicine of Tunis University Tunis el Manar Tunis Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonia","family":"Rekik","sequence":"additional","affiliation":[{"name":"Rheumatology Department Rabta Hospital Tunis Tunisia"},{"name":"Faculty of Medicine of Tunis University Tunis el Manar Tunis Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samia","family":"Jammali","sequence":"additional","affiliation":[{"name":"Rheumatology Department Rabta Hospital Tunis Tunisia"},{"name":"Faculty of Medicine of Tunis University Tunis el Manar Tunis 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