Ben Ismail Imen, Zenaidi Hakim, Rebii Saber, Zoghlami Ayoub
University of Tunis El Manar, Department of General Surgery, Trauma Center, Ben Arous, Tunisia.
IDCases. 2020 May 6;20:e00790. doi: 10.1016/j.idcr.2020.e00790. eCollection 2020.
Hydatid disease is endemic in Tunisia. The involvement of the female genital tract is uncommon, and the occurrence in the fallopian tube is exceptional. We present a case of a 42-year-old woman who had complained of a 4-month history of lower abdominal pain. The abdominal ultrasonography and CT scan showed a multiloculated cystic lesion in the left adnexa. The exploratory laparotomy found a cystic mass developing in the left fallopian tube. Left salpingectomy was performed. The pathological examination confirmed the diagnosis of hydatid cyst disease. No recurrence was detected at the 2-year follow-up. Tubal hydatid cyst is an extremely rare condition that should be considered in the differential diagnosis of any cystic lesion in patients from endemic areas.
包虫病在突尼斯呈地方性流行。女性生殖道受累情况并不常见，而发生在输卵管的情况则极为罕见。我们报告一例42岁女性病例，该患者主诉有4个月的下腹部疼痛病史。腹部超声和CT扫描显示左侧附件有一个多房性囊性病变。剖腹探查发现左侧输卵管有一个囊性肿物。遂行左侧输卵管切除术。病理检查确诊为包虫囊肿病。在2年的随访中未发现复发。输卵管包虫囊肿是一种极其罕见的疾病，对于来自流行地区的患者，在对任何囊性病变进行鉴别诊断时都应考虑到这种疾病。
