Parlakgumus H Ayse, Parlakgumus A, Haydardedeoglu B, Bolat F
Department of Obstetrics and Gynecology, Baskent University School of Medicine, Ankara, Turkey.
Clin Exp Obstet Gynecol. 2011;38(1):102-4.
Pelvic hydatid cysts, although rare, must be considered when evaluating a pelvic mass in women living in an endemic area. The pelvis may become secondarily involved as a result of a rupture of the cyst in another location or be the only localization of the disease. If the cyst becomes secondarily infected, it may mimic a tuboovarian abscess. A 49-year-old multipara was admitted to the emergency department with the complaint of fever, generalized abdominal pain and distension. Abdominal ultrasound revealed a 4 cm cystic structure in the liver and the gynecological examination was normal. The patient's abdominal pain receded spontaneously, so she was prescribed albendazole and discharged from the hospital. Ten days later, she complained of pelvic pain, pressure and vaginal discharge. The uterus and adnexa were tender on pelvic examination. Ultrasound revealed an 8 cm uniloculated cyst with free floating internal echogenities located between the bladder and the uterus. At surgery a 10 cm right-sided tuboovarian mass was present. A germinative membrane was present inside the abscess and pericystectomy with unilateral salphingo-oophorectomy was performed.
盆腔包虫囊肿虽然罕见，但在评估生活在流行地区的女性盆腔肿块时必须予以考虑。盆腔可能因其他部位囊肿破裂而继发受累，也可能是疾病的唯一发病部位。如果囊肿继发感染，可能会类似输卵管卵巢脓肿。一名49岁经产妇因发热、全腹疼痛和腹胀主诉入住急诊科。腹部超声显示肝脏有一个4厘米的囊性结构，妇科检查正常。患者腹痛自行缓解，因此给予阿苯达唑治疗后出院。十天后，她主诉盆腔疼痛、坠胀和阴道分泌物增多。盆腔检查时子宫和附件有压痛。超声显示膀胱和子宫之间有一个8厘米的单房囊肿，内部回声自由漂浮。手术时发现右侧有一个10厘米的输卵管卵巢肿块。脓肿内有生发膜，行囊肿切除术及单侧输卵管卵巢切除术。
