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Pelvic hydatidosis mimicking a malignant multicystic ovarian tumor.
Korean J Parasitol. 2010 Sep; 48(3):263-5.KJ

Abstract

Echinococcosis is a multisystem disease and has propensity to involve any organ, an unusual anatomical site, and can mimic any disease process. Primary peritoneal echinococcosis is known to occur secondary to hepatic involvement but occasional cases of primary peritoneal hydatid disease including pelvic involvement have also been reported. We report here 1 such case of primary pelvic hydatidosis mimicking a malignant multicystic ovarian tumor where there was no evidence of involvement of the liver or spleen. Our patient, a 27-year-old female, was detected to have a large right cystic adnexal mass on per vaginal examination which was confirmed by ultrasonography. Her biochemical parameters were normal and CA-125 levels, though mildly raised, were below the cut off point. She underwent surgery and on exploratory laparotomy, another cystic mass was found attached to the mesentery of the small gut. The resected cysts were processed histopathologically. On cut sections both large cysts revealed numerous daughter cysts. Microscopic examination of fluid from the cysts revealed free scolices with hooklets and the cyst wall had a typical laminated membrane with inner germinal layer containing degenerated protoplasmic mass. The diagnosis of pelvic hydatid disease was confirmed and patient was managed accordingly. Hydatid disease must be considered while making the differential diagnosis of pelvic cystic masses, especially in endemic areas.

Authors+Show Affiliations

Department of Pathology, MM Institute of Medical Sciences and Research, Mullana (Ambala), Haryana 133203, India. drpremsingh54@gmail.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

20877508

Citation

Sing, Prem, et al. "Pelvic Hydatidosis Mimicking a Malignant Multicystic Ovarian Tumor." The Korean Journal of Parasitology, vol. 48, no. 3, 2010, pp. 263-5.
Sing P, Mushtaq D, Verma N, et al. Pelvic hydatidosis mimicking a malignant multicystic ovarian tumor. Korean J Parasitol. 2010;48(3):263-5.
Sing, P., Mushtaq, D., Verma, N., & Mahajan, N. C. (2010). Pelvic hydatidosis mimicking a malignant multicystic ovarian tumor. The Korean Journal of Parasitology, 48(3), 263-5. https://doi.org/10.3347/kjp.2010.48.3.263
Sing P, et al. Pelvic Hydatidosis Mimicking a Malignant Multicystic Ovarian Tumor. Korean J Parasitol. 2010;48(3):263-5. PubMed PMID: 20877508.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pelvic hydatidosis mimicking a malignant multicystic ovarian tumor. AU - Sing,Prem, AU - Mushtaq,Deeba, AU - Verma,Neetu, AU - Mahajan,N C, Y1 - 2010/09/16/ PY - 2010/05/28/received PY - 2010/07/07/revised PY - 2010/07/09/accepted PY - 2010/9/30/entrez PY - 2010/9/30/pubmed PY - 2011/1/6/medline KW - Echinococcus granulosus KW - daughter cysts KW - hydatidosis KW - multicystic ovarian tumour SP - 263 EP - 5 JF - The Korean journal of parasitology JO - Korean J. Parasitol. VL - 48 IS - 3 N2 - Echinococcosis is a multisystem disease and has propensity to involve any organ, an unusual anatomical site, and can mimic any disease process. Primary peritoneal echinococcosis is known to occur secondary to hepatic involvement but occasional cases of primary peritoneal hydatid disease including pelvic involvement have also been reported. We report here 1 such case of primary pelvic hydatidosis mimicking a malignant multicystic ovarian tumor where there was no evidence of involvement of the liver or spleen. Our patient, a 27-year-old female, was detected to have a large right cystic adnexal mass on per vaginal examination which was confirmed by ultrasonography. Her biochemical parameters were normal and CA-125 levels, though mildly raised, were below the cut off point. She underwent surgery and on exploratory laparotomy, another cystic mass was found attached to the mesentery of the small gut. The resected cysts were processed histopathologically. On cut sections both large cysts revealed numerous daughter cysts. Microscopic examination of fluid from the cysts revealed free scolices with hooklets and the cyst wall had a typical laminated membrane with inner germinal layer containing degenerated protoplasmic mass. The diagnosis of pelvic hydatid disease was confirmed and patient was managed accordingly. Hydatid disease must be considered while making the differential diagnosis of pelvic cystic masses, especially in endemic areas. SN - 1738-0006 UR - https://www.unboundmedicine.com/medline/citation/20877508/Pelvic_hydatidosis_mimicking_a_malignant_multicystic_ovarian_tumor_ L2 - http://www.parasitol.or.kr/kjp/DOIx.php?id=10.3347/kjp.2010.48.3.263 DB - PRIME DP - Unbound Medicine ER -