Autopsy and Case Reports
https://app.periodikos.com.br/journal/autopsy/article/doi/10.4322/acr.2023.461
Autopsy and Case Reports
Clinical Case Report and Review

Ovarian hydatid cyst: an uncommon site of presentation

Kaushlendra Kumar; Ariba Zaidi; Nuzhat Husain

Downloads: 2
Views: 521

Abstract

Hydatid cyst is a parasitic infestation caused by Echinococcus larvae. Hydatid cyst of the ovary is a highly unusual presentation. Herein, we present a case of a young woman who complained of episodic lower abdominal pain. Ultrasound of the abdomen revealed a multi-cystic left adnexal mass measuring 86 mm x 67 mm. A possibility of ovarian cystic neoplasm was suggested. Unilateral salpingo-oophorectomy was performed. On histopathological examination, a cyst measuring 8.0 x 5.5 x 4.5 cm was found, replacing the entire ovary. The cyst cavity was filled with serous fluid and multiple pearly white membranous structures, giving a multiloculated appearance. Microscopic examination showed a cyst lined by a lamellar membrane containing protoscolices and hooklets. Hydatid disease is a zoonotic ailment caused by tapeworms (Echinococcus granulosus or, less commonly, Echinococcus multilocularis). The definitive hosts are carnivores. Humans are the accidental intermediate hosts. The hydatid cyst commonly affects the liver and the lungs. The primary hydatid cyst of the ovary is quite rare, with few case reports in the literature. In most cases, symptoms are vague, and the lesion is misdiagnosed as benign or malignant ovarian cystic neoplasm on clinical and radiological examination. Ovarian hydatid cyst is treated by surgery with ovarian cystectomy as the gold standard. The possibility of a hydatid cyst should be kept under differential diagnoses while evaluating the cystic diseases of the ovary.

Keywords

Echinococcosis, Ovarian cysts, Ovarian neoplasms

References

1 Seifi S, Shadman A, Mardi A et al. Pelvic hydatid cyst presentation as an ovarian torsion: a rare case report. SAGE Open Medical Case Reports. 2022;10:2050313X221136997.

2 Ray S, Gangopadhyay M. Hydatid cyst of ovary-a rare entity. J Turk Ger Gynecol Assoc. 2010;11(1):63-4. PMid:24591898.

3 Uchikova E, Pehlivanov B, Uchikov A, Shipkov C, Poriazova E. A primary ovarian hydatid cyst. Aust N Z J Obstet Gynaecol. 2009;49(4):441-2. http://dx.doi.org/10.1111/j.1479-828X.2009.01015.x. PMid:19694705.

4 Aybatlı A, Kaplan PB, Yüce MA, Yalçın O. Huge solitary primary pelvic hydatid cyst presenting as an ovarian malignancy: case report. J Turk Ger Gynecol Assoc. 2009;10(3):181-3. PMid:24591866.

5 Shangpliang D, Baishya P, Dey B, Raphael V, Wankhar B. Ovarian hydatid cyst mimicking an ovarian neoplasm. Autops Case Rep. 2020;10(3):e2020177. http://dx.doi.org/10.4322/acr.2020.177. PMid:33344299.

6 Sharma A, Sengupta P, Mandal S, Raychaudhuri G. Hydatid cyst of ovary mimicking ovarian neoplasm with its imprint cytology. Am J Case Rep. 2012;13:276-8. http://dx.doi.org/10.12659/AJCR.883639. PMid:23569548.

7 Bdeiwi H, Sultan H, Mezketli Z, et al. An unusual site for hydatid cyst on ovary misdiagnosed as an ovarian cyst: a case report. Ann Med Surg (Lond). 2023;85(7):3735-8. http://dx.doi.org/10.1097/MS9.0000000000001004. PMid:37427247.

8 Sarngal S, Gandhi S, Arora S, Sharma S. Unusual presentation of hydatid cyst. Euroasian J Hepatogastroenterol. 2022;12(1):31-4. http://dx.doi.org/10.5005/jp-journals-10018-1369. PMid:35990869.

9 Tarafdar A, Irandoost E, Jafari S, Vahed R, Hadizadeh A, Heidary L. Pelvic hydatid cyst: three cases with suspected adnexal masses. Int J Fertil Steril. 2022;16(1):60-3. http://dx.doi.org/10.22074/IJFS.2021.531956.1137. PMid:35103434.

10 Mohammed AA, Arif SH. Hydatid cyst of the ovary - a very rare type of cystic ovarian lesion: a case report. Case Rep Womens Health. 2021;31:e00330. http://dx.doi.org/10.1016/j.crwh.2021.e00330. PMid:34123734.

11 Ennaceur F, Toumi D, Jaouad F, et al. Primary echinococcus hydatid cyst of the uterus: an unusual location. Case Rep Surg. 2021;2021:9977326. http://dx.doi.org/10.1155/2021/9977326. PMid:34094614.

12 Dugar D, Mahobi HS, Saha A, Mohanty D. Primary hydatid disease of fallopian tubes: the risk of infertility looms large. Ann Parasitol. 2021;67(4):813-5. http://dx.doi.org/10.17420/ap6704.400. PMid:35339121.

13 Katsamagkas T, Tsakiridis I, Evaggelinos D, Skafida P, Dagklis T, Kalogiannidis I. Primary ovarian hydatid cyst in a postmenopausal woman: A rare case report. Int J Surg Case Rep. 2020;68:221-3. http://dx.doi.org/10.1016/j.ijscr.2020.03.006. PMid:32193140.

14 Hammouda SB, Njima M, Hadhri R, Zakhama A. Incidentally diagnosed hydatid cyst of uterus. Eur J Obstet Gynecol Reprod Biol. 2020;255:267-8. http://dx.doi.org/10.1016/j.ejogrb.2020.10.029. PMid:33097310.

15 Ben Ismail I, Zenaidi H, Rebii S, Zoghlami A. Primary hydatic cyst of the fallopian tube. IDCases. 2020;20:e00790. http://dx.doi.org/10.1016/j.idcr.2020.e00790. PMid:32420031.

16 Beyhan YE, Yılmaz H, Taş Cengiz Z, et al. A rare case of secondary hydatid cyst: uterus and colon locations in the same patient. Turkiye Parazitol Derg. 2019;43(3):149-51. http://dx.doi.org/10.4274/tpd.galenos.2019.6303. PMid:31502806.

17 Tas EE, Yegin Akcay GF, Yildirim F, Yavuz F. Coexisting primary ovarian and omental hydatid disease mimicking an ovarian neoplasm: a case report. Int J Gynecol Pathol. 2018;37(3):301-4. http://dx.doi.org/10.1097/PGP.0000000000000411. PMid:28700426.

18 Kakaei F, Asvadi Kermani T, Tarvirdizade K. A case report: primary hydatid cyst of uterus. Int J Surg Case Rep. 2018;42:67-9. http://dx.doi.org/10.1016/j.ijscr.2017.10.068. PMid:29248836.

19 Selhi PK, Grover S, Narang V, Singh A, Sood N, Juneja S. Intraoperative diagnosis of hydatid cyst of the ovary masquerading as tumor. Diagn Cytopathol. 2017;45(3):267-9. http://dx.doi.org/10.1002/dc.23644. PMid:27888659.

20 Khalid S, Jamal F, Rafat D, et al. Coexistent borderline serous cystadenoma with multifocal hydatidosis in a young female: lessons learnt. J Med Ultrason. 2016;43(4):553-6. http://dx.doi.org/10.1007/s10396-016-0727-8. PMid:27314257.

21 Abdullah A, Alsafi R, Iqbal J, Rotimi V. Unusual case of pelvic hydatid cyst of broad ligament mimicking an ovarian tumour. JMM Case Rep. 2016;3(4):e005057. http://dx.doi.org/10.1099/jmmcr.0.005057. PMid:28348779.

22 Charatsi DI, Kotsopoulos IC, Xirou P, Valeri RM, Kaplanis K. Synchronous adenocarcinoma and echinococcosis in the same ovary: a rare clinical entity. Hippokratia. 2015;19(1):88-91. PMid:26435657.

23 Küçük Z, Karcaaltincaba D, Ergün Y, Doğan AÇ, Çaydere M, Küçük H. Isolated hydatid cyst of uterine cervix: A case report. J Obstet Gynaecol Res. 2014;40(4):1157-60. http://dx.doi.org/10.1111/jog.12301. PMid:24612336.

24 Nazari Z, Torabizadeh J. Primary hydatid cyst of the fallopian tube: a case report. Caspian J Intern Med. 2014;5(3):179-81. PMid:25202448.

25 Jha A, Ahmad I, Ahmad M, Saud M, Gupta P, Chauhan S. Isolated hydatid disease of ovary and broad ligament in a child. Pediatr Infect Dis J. 2013;32(6):702. http://dx.doi.org/10.1097/INF.0b013e31828444f0. PMid:23838733.

26 Bhattacharya A, Saha R, Mitra S, Nayak P. Primary hydatid cyst of broad ligament. Trop Parasitol. 2013;3(2):155-7. http://dx.doi.org/10.4103/2229-5070.122148. PMid:24471003.

27 Doğan K, Kaya C, Karaman U, Kalaycı MU, Baytekin HF. Nadir bir olgu: tuboovaryan apseye neden olan hidatik kist [Tuboovarian abscess caused by hydatid cyst: a rare case]. Mikrobiyol Bul. 2013;47(2):356-61. [Turkish] PMid:23621737.

28 Peker K, Uluğ P, Naykı ÜA, et al. Primary uterine hydatid cyst: a case report. Turkiye Parazitol Derg. 2013;37(4):302-4. http://dx.doi.org/10.5152/tpd.2013.3216. PMid:24412877.

29 Dharsandia MV, Soni ST, Vegad MM. Ovarian hydatid cyst in pediatric patient commencing as ovarian tumor: a rare site of echinococcosis. Int J Prev Med. 2012;3(12):897-9. http://dx.doi.org/10.4103/2008-7802.104863. PMid:23272291.

30 Kaya A, Yildiz S, Ozaras R, Mert A. A primary giant hydatid cyst of the ovary. Iran J Radiol. 2012;9(3):165-6. http://dx.doi.org/10.5812/iranjradiol.7955. PMid:23329985.

31 Gungor T, Altinkaya SO, Sirvan L, Lafuente RA, Ceylaner S. Coexistence of borderline ovarian epithelial tumor, primary pelvic hydatid cyst, and lymphoepithelioma-like gastric carcinoma. Taiwan J Obstet Gynecol. 2011;50(2):201-4. http://dx.doi.org/10.1016/j.tjog.2009.10.005. PMid:21791308.

32 Cattorini L, Trastulli S, Milani D, et al. Ovarian hydatid cyst: a case report. Int J Surg Case Rep. 2011;2(6):100-2. http://dx.doi.org/10.1016/j.ijscr.2010.12.005. PMid:22096695.

33 Ozcan S, Karayalçin R, Ozyer S. Large solitary paravaginal hydatid cyst: a rare cause of urethral injury. Int Urogynecol J. 2010;21(12):1577-9. http://dx.doi.org/10.1007/s00192-010-1201-6. PMid:20549190.

34 Sing P, Mushtaq D, Verma N, Mahajan NC. Pelvic hydatidosis mimicking a malignant multicystic ovarian tumor. Korean J Parasitol. 2010;48(3):263-5. http://dx.doi.org/10.3347/kjp.2010.48.3.263. PMid:20877508.

35 Görgen H, Api M, Cetin A. Primary adnexial hydatid cyst mimicking ovarian tumor. J Turk Ger Gynecol Assoc. 2009;10(4):232-4. PMid:24591878.

36 Tampakoudis P, Assimakopoulos E, Zafrakas M, Tzevelekis P, Kostopoulou E, Bontis J. Pelvic echinococcus mimicking multicystic ovary. Ultrasound Obstet Gynecol. 2003;22(2):196-8. http://dx.doi.org/10.1002/uog.172. PMid:12905519.

37 Başgül A, Kavak ZN, Gökaslan H, Küllü S. Hydatid cyst of the uterus. Infect Dis Obstet Gynecol. 2002;10(2):67-70. http://dx.doi.org/10.1155/S1064744902000042. PMid:12530482.

38 Díaz-Recaséns J, García-Enguídanos A, Muñoz I, Sáinz de la Cuesta R. Ultrasonographic appearance of an echinococcus ovarian cyst. Obstet Gynecol. 1998;91(5 Pt 2):841-2. PMid:9580551.

39 Kriplani A, Kriplani AK. Primary echinococcal cyst of the broad ligament (a case report). J Postgrad Med. 1989;35(1):57-8. PMid:2585340.
 


Submitted date:
08/31/2023

Accepted date:
10/24/2023

Publication date:
12/15/2023

657c16e4a9539540941b3d63 autopsy Articles
Links & Downloads

Autops Case Rep

Share this page
Page Sections