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A primary ovarian hydatid cyst: uncommon site of echinococcosis (case report)

2023; Volume: 12; Linguagem: Inglês

10.11604/pamj-cm.2023.12.50.41372

2707-2797

Mariem Garci, Ghada Abdelmoula, S. Armi, Fatma Dhieb, Mehdi Makni, Nabil Mathlouthi, Linda Hadj Kacem, Cyrine Belghith, Olfa Slimani,

Urinary and Genital Oncology Studies

Pelvic localizations of hydatid disease are rare and can be a source of diagnostic difficulty. We aim to present a case of an unusual presentation of an isolated ovarian hydatid cyst diagnosed on the occasion of pelvic pain and considered an ovarian tumor. A 62-year-old woman menopausal for 5 years, was referred to our consultation for pelvic pain and post-menopausal metrorrhagia. Pelvic ultrasound revealed a mixt pelvic mass. An magnetic resonance imaging (MRI) showed a multiloculated cystic mass of the left ovary without any calcification. A laparotomy was decided, and an excision of the whole ovary including the cyst with the fallopian tube was done. Examination of the cyst showed a fluid containing scolices and hooklets on direct examination. After surgery, the patient has been treated with Albendazol. Ovarian echinococcosis should always be kept in mind such as a differential diagnosis with ovarian cysts and malignancies.