Primary Ovarian Hydatid Cyst Mimicking Cyst Adenoma: a Rare Case Report

Overview

Journal GMS Hyg Infect Control

Specialty Health Services

Date 2024 Jul 12

PMID 38993381

Authors

Ensiyeh Bahadoran

Fatemeh Samieerad

Simindokht Molaverdikhani

Saeideh Gholamzadeh Khoei

Affiliations

Soon will be listed here.

Abstract

Background: Hydatid cysts (HC) are zoonotic diseases that are mainly caused by . Ovarian HC is a rare condition with different and unspecified presentations. Here we report a rare case of primary ovarian HC.

Case Presentation: A 47-year-old woman with chronic abdominal pain and left hemipelvic fullness was referred to the Obstetrics Clinic of the Kowsar Hospital of Qazvin. Abdominopelvic sonography revealed a cystic mass, which primarily suggested a cyst adenoma. The tumor marker levels were within normal limits. After surgical resection, histopathological examination showed a cystic mass with dimensions of 10×6×3 cm, smooth external and internal aspects, wall thickness of 0.3 cm, and multiple pieces of irregular gray membranous tissue. The patient was treated with albendazole 3 months after surgery, and a 6-month follow-up sonogram revealed no signs of recurrence.

Discussion: HC has non-specific presentations. Radiologists, pathologists, and surgeons should consider HC as a differential diagnosis for any cystic mass in the pelvic cavity, especially in endemic areas. Surgical resection and albendazole administration are the chosen treatments.

References

Zhao Q, Luo J, Zhang Q, Leng T, Yang L . Laparoscopic surgery for primary ovarian and retroperitoneal hydatid disease: A case report. Medicine (Baltimore). 2018; 97(3):e9667. PMC: 5779778. DOI: 10.1097/MD.0000000000009667. View

Mohammed A, Arif S . Surgical excision of a giant pedunculated hydatid cyst of the liver. J Surg Case Rep. 2019; 2019(7):rjz208. PMC: 6649717. DOI: 10.1093/jscr/rjz208. View

Mohammed A, Arif S . Hydatid cyst of the ovary - a very rare type of cystic ovarian lesion: A case report. Case Rep Womens Health. 2021; 31:e00330. PMC: 8173026. DOI: 10.1016/j.crwh.2021.e00330. View

Ray S, Gangopadhyay M . Hydatid cyst of ovary- a rare entity. J Turk Ger Gynecol Assoc. 2014; 11(1):63-4. PMC: 3939309. View

Lozneanu L, Balan R, Giusca S, Caruntu I, Amalinei C, Grigoras A . Ovarian hydatid cyst - systematic review of clinicopathological and immunohistochemical characteristics of an unusual entity. Rom J Morphol Embryol. 2020; 60(3):751-759. View

Higuita N, Brunetti E, McCloskey C . Cystic Echinococcosis. J Clin Microbiol. 2015; 54(3):518-23. PMC: 4767951. DOI: 10.1128/JCM.02420-15. View

Bdeiwi H, Sultan H, Mezketli Z, Jouma Al-Hejazi T, Trissi M, Kellawi K . An unusual site for hydatid cyst on ovary misdiagnosed as an ovarian cyst: a case report. Ann Med Surg (Lond). 2023; 85(7):3735-3738. PMC: 10328643. DOI: 10.1097/MS9.0000000000001004. View

Farazi A, Zarinfar N, Kayhani F, Khazaie F . Hydatid Disease in the Central Region of Iran: A 5-year Epidemiological and Clinical Overview. Cent Asian J Glob Health. 2020; 8(1):364. PMC: 6948357. DOI: 10.5195/cajgh.2019.364. View

Yilmaz M, Akbulut S, Kahraman A, Yilmaz S . Liver hydatid cyst rupture into the peritoneal cavity after abdominal trauma: case report and literature review. Int Surg. 2012; 97(3):239-44. PMC: 3723224. DOI: 10.9738/CC116.1. View

10.

Alonso Garcia M, Suarez Mansilla P, Mora Cepeda P, Bayon Alvarez E, Colomo C, Martin J . Ovarian hydatid disease. Arch Gynecol Obstet. 2013; 289(5):1047-51. DOI: 10.1007/s00404-013-3096-1. View

11.

Botezatu C, Mastalier B, Patrascu T . Hepatic hydatid cyst - diagnose and treatment algorithm. J Med Life. 2018; 11(3):203-209. PMC: 6197524. DOI: 10.25122/jml-2018-0045. View

12.

Pedrosa I, Saiz A, Arrazola J, Ferreiros J, Pedrosa C . Hydatid disease: radiologic and pathologic features and complications. Radiographics. 2000; 20(3):795-817. DOI: 10.1148/radiographics.20.3.g00ma06795. View

13.

Stojkovic M, Rosenberger K, Kauczor H, Junghanss T, Hosch W . Diagnosing and staging of cystic echinococcosis: how do CT and MRI perform in comparison to ultrasound?. PLoS Negl Trop Dis. 2012; 6(10):e1880. PMC: 3493391. DOI: 10.1371/journal.pntd.0001880. View

14.

Rawla P, Sunkara T, Muralidharan P, Raj J . An updated review of cystic hepatic lesions. Clin Exp Hepatol. 2019; 5(1):22-29. PMC: 6431089. DOI: 10.5114/ceh.2019.83153. View

15.

Grosso G, Gruttadauria S, Biondi A, Marventano S, Mistretta A . Worldwide epidemiology of liver hydatidosis including the Mediterranean area. World J Gastroenterol. 2012; 18(13):1425-37. PMC: 3319938. DOI: 10.3748/wjg.v18.i13.1425. View

16.

Sachar S, Goyal S, Sangwan S . Uncommon locations and presentations of hydatid cyst. Ann Med Health Sci Res. 2014; 4(3):447-52. PMC: 4071749. DOI: 10.4103/2141-9248.133476. View

17.

Shahriarirad R, Erfani A, Ebrahimi K, Rastegarian M, Eskandarisani M, Ziaian B . Hospital-based retrospective analysis of 224 surgical cases of lung hydatid cyst from southern Iran. J Cardiothorac Surg. 2023; 18(1):204. PMC: 10316629. DOI: 10.1186/s13019-023-02327-w. View

18.

Abbasi B, Akhavan R, Ghamari Khameneh A, Darban Hosseini Amirkhiz G, Rezaei-Dalouei H, Tayebi S . Computed tomography and magnetic resonance imaging of hydatid disease: A pictorial review of uncommon imaging presentations. Heliyon. 2021; 7(5):e07086. PMC: 8166760. DOI: 10.1016/j.heliyon.2021.e07086. View

19.

Abduljabbar H, Bukhari Y, Al Hachim E, Alshour G, Amer A, Shaikhoon M . Review of 244 cases of ovarian cysts. Saudi Med J. 2015; 36(7):834-8. PMC: 4503903. DOI: 10.15537/smj.2015.7.11690. View

20.

Samiee-Rad F, Emami A . An Iranian man with increased thigh mass due to a hydatid cyst. GMS Hyg Infect Control. 2020; 15:Doc20. PMC: 7453142. DOI: 10.3205/dgkh000355. View