Huge solitary primary pelvic hydatid cyst presenting as an ovarian malignancy: case report
| Autor: | Aysun, Aybatlı, Petek Balkanlı, Kaplan, Mehmet Ali, Yüce, Omer, Yalçın |
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| Jazyk: | angličtina |
| Rok vydání: | 2009 |
| Předmět: | |
| Zdroj: | Journal of the Turkish-German Gynecological Association, Vol 10, Iss 03, Pp 181-183 (2009) |
| ISSN: | 1309-0380 1309-0399 |
| Popis: | Hydatid disease is a zoonotic parasitic infection caused by Echinococcus granulosus. Echinococcus cysts are found mostly in the liver (60%) and lung (15%), but they can be located in any part of the body. However pelvic echinococcosis as the primary site is rarely seen. We report the case of a large echinococcal cyst localized in the lower pelvis. A 76-year-old woman was admitted to an emergency department with urinary retention for ten days. Ultrasonography and other imaging modalities revealed a mass with solid and cystic components in pelvic localization. This unusual presentation in an elderly postmenopausal woman was initially considered as an ovarian malignancy until surgical exploration and microscopic studies confirmed the diagnosis of echinococcosis. Antihelminthics were administered postoperatively and the patient is now being closely followed up. Gynecologists should be aware of the possibility of a primary hydatid cyst of the pelvic cavity and should be considered in the differential diagnosis of cystic pelvic masses, especially in areas where the disease is endemic.Hidatik kist Ekinokokkus granulozus tarafından oluşturulan bir parazitik kisttir. Çoğunlukla karaciğer (%60) ve akciğerde (%15) yerleşir. Fakat vücudun herhangi bir bölgesinde de olabilirler. Pelvik hidatik kist oldukça nadir görülür. Burda 76 yaşındaki pelvik hidatik kisti olan bir vaka sunuldu. Hasta acile 10 gündür idrar yapamama yakınması ile müracaat etti. Hasta cerrahi yapılıp histopatolojik inceleme yapılana kadar over tümörü olarak değerlendirilmişti. Cerrahi sonrası antihelmintik tedavi başlandı. Jinekologlar özellikle de hastalığın endemik olduğu yöreleden gelen hastalarsdaki pelvik kitlelerde hidatik kisti de ayırıcı tanıda düşünmelidirler. |
| Databáze: | OpenAIRE |
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