An Ovarian Hydatid Disease Imitating Ovarian Neoplasm: A Case Report Publisher



Tehranian A^{1, 2} ; Ghahghaeinezamabadi A¹ ; Seifollahi A³ ; Karimi R¹ ; Aghajani F⁴
Source: Journal of Gynecologic Surgery Published:2021

Abstract

Background: Echinococcosis (hydatid disease) is a parasitic infection that, in humans, mostly affects the liver and lungs. Pelvic and ovarian involvement with hydatid cysts is commonly secondary to dissemination from other organs. Hydatid cysts imitate various benign and malignant conditions, and their preoperative diagnosis is not always possible. Case: A 49-year-old female presented to the clinic of gynecology with complaints of abdominal pain and abnormal uterine bleeding. In physical examination, a firm mass was identified in her left adnexa. Radiologic evaluations revealed a multiloculated cyst with internal heteroechoic lesions on the left side of her pelvic cavity. The patient underwent laparotomy with a diagnosis of ovarian neoplasm. A total abdominal hysterectomy with bilateral salpingo-oophorectomy was performed. Pathologic analysis of the samples confirmed the diagnosis of hydatid disease of ovary, fascia, and omentum. The patient was discharged on the third postoperative day in a good general status and was prescribed albendazole for 6 months. Result: We have followed up the patient for 14 months. No recurrence has been occurred until now. Conclusions: Although hydatid disease of the female reproductive system is rare, the gynecologists, especially those working at endemic areas, should consider hydatid cyst in patients with pelvic masses to lessen the risk of intraoperative cyst's spill. © 2021, Mary Ann Liebert, Inc., publishers.