Alonso García M E, Suárez Mansilla P, Mora Cepeda P, Bayón Álvarez E, Alvarez Colomo C, González Martín J I
Servicio de Obstetricia y Ginecología, Complejo Asistencial de Palencia, Plaza Santa Brígida, nº1, 4ºC, 47003, Valladolid, Spain,
Arch Gynecol Obstet. 2014 May;289(5):1047-51. doi: 10.1007/s00404-013-3096-1. Epub 2013 Dec 8.
Hydatid disease, also known as Echinococcosis is a zoonosis caused by the larval stage of Echinococcus. The human cystic variant primarily affects liver and lungs. The pelvic location of the disease is a rare finding usually secondary to a ruptured liver cyst, although it may also appear as a primary lesion affecting the genital organs. Despite its rarity, in endemic areas, pelvic hydatid disease should be considered in the differential diagnosis of complex adnexal cystic mass, to make an appropriate treatment strategy. The suspected diagnosis is based on imaging studies and serodiagnostic techniques, in which a new field of research attempts to find a standardized test with sufficient sensitivity and specificity. We report a case of primary pelvic hydatid disease in postmenopausal women operated for suspected ovarian cancer.
包虫病，又称棘球蚴病，是一种由棘球绦虫幼虫阶段引起的人畜共患病。人类囊性变体主要影响肝脏和肺部。该病发生在盆腔较为罕见，通常继发于肝囊肿破裂，不过也可能表现为影响生殖器官的原发性病变。尽管罕见，但在流行地区，盆腔包虫病应在复杂附件囊性肿物的鉴别诊断中予以考虑，以便制定合适的治疗策略。疑似诊断基于影像学检查和血清诊断技术，其中一个新的研究领域试图找到一种具有足够敏感性和特异性的标准化检测方法。我们报告一例绝经后女性因疑似卵巢癌接受手术，术后诊断为原发性盆腔包虫病的病例。
