Mohammed Ayad Ahmad, Arif Sardar Hassan
Department of Surgery, College of Medicine, University of Duhok, Kurdistan Region, Iraq.
Case Rep Womens Health. 2021 May 28;31:e00330. doi: 10.1016/j.crwh.2021.e00330. eCollection 2021 Jul.
Hydatid disease is a zoonotic condition caused by the adult or the larval stages of tapeworms belonging to the species or less commonly . The presentation depends on the site of involvement. Many cases are not symptomatic and may be discovered accidentally. Hydatid cyst of the ovary is an extremely rare presentation and accounts for 0.2-1% of the diagnosed cases. It may be mistaken for ovarian cysts or cystic tumors of the ovary.
An 18-year-old woman complained of episodes of lower abdominal pain and frequent urination for the last 3 months. During abdominal examination, there was deep tenderness in the supra-pubic region with no palpable organs or masses. Ultrasound of the abdomen showed evidence of cystic left adnexal lesions. A computerized tomography scan of the abdomen revealed evidence of cystic left adnexal lesion with no enhancement after contrast injection. Laparoscopy was performed and there was evidence of a hydatid cyst of the left ovary. The cyst was extracted from the cavity using a retrieval bag. Anthelmintic medications were prescribed for 3 months, and follow-up ultrasound after 6 months was normal.
A high index of suspicion is required for the diagnosis, particularly in the presence of any cystic lesion, in any part of the world. The enzyme-linked immunosorbent assay test may be informative in the active stages of the disease. Laparoscopic management involves cyst excision. Anthelmintic drugs are required after surgery to decrease the recurrence rate.
包虫病是一种人畜共患病，由属于 种或较不常见的 种绦虫的成虫或幼虫阶段引起。临床表现取决于受累部位。许多病例没有症状，可能是偶然发现的。卵巢包虫囊肿是一种极为罕见的表现，占确诊病例的0.2 - 1%。它可能被误诊为卵巢囊肿或卵巢囊性肿瘤。
一名18岁女性在过去3个月里主诉下腹部疼痛发作和尿频。腹部检查时，耻骨上区域有深压痛，未触及器官或肿块。腹部超声显示左侧附件有囊性病变。腹部计算机断层扫描显示左侧附件有囊性病变，注射造影剂后无强化。进行了腹腔镜检查，发现左侧卵巢有包虫囊肿。使用取物袋从囊腔中取出囊肿。开了3个月的驱虫药，6个月后的随访超声检查正常。
诊断需要高度怀疑，特别是在世界任何地区出现任何囊性病变时。酶联免疫吸附试验在疾病的活跃阶段可能有参考价值。腹腔镜治疗包括囊肿切除。术后需要使用驱虫药以降低复发率。
