Department of General Surgery, All India Institute of Medical Sciences, Raipur 492099, India.
Ann Parasitol. 2021;67(4):813-815. doi: 10.17420/ap6704.400.
A 45-year-old postmenopausal woman from a rural area presented with a painless lower abdominal lump. Contrast-enhanced computed tomogram of abdomen revealed a well defined hypodense pelvic cystic lesion with multiple daughter cysts suggestive of hydatid disease. The liver was free of cysts on imaging. On laparotomy, the cyst cavity was found to be communicating with the fimbriated ends of both the fallopian tubes. Cyst excision along with hysterectomy and bilateral salpingo-oophorectomy was performed. Histopathology confirmed presence of hydatid disease by demonstrating daughter cysts and laminated membrane completely filling up the tube lumens. The uterus and ovary were uninvolved. While the management is straightforward in postmenopausal women, the risk of infertility looms large in young patients with bilateral fallopian tube hydatid disease. Proper preoperative counseling is thus essential in the patients with pelvic hydatid disease to safeguard against future litigations.
一位来自农村地区的 45 岁绝经后妇女因下腹无痛性肿块就诊。腹部增强 CT 显示一个边界清楚的盆腔囊性低密度病变，伴有多个子囊，提示为包虫病。影像学检查未发现肝脏有囊肿。剖腹探查时发现囊肿腔与双侧输卵管的伞端相通。行囊肿切除、子宫切除术和双侧输卵管卵巢切除术。组织病理学检查通过显示充满管腔的子囊和分层膜证实存在包虫病。子宫和卵巢未受累。虽然绝经后妇女的治疗方法很简单，但双侧输卵管包虫病的年轻患者面临着不孕的巨大风险。因此，对于盆腔包虫病患者，进行适当的术前咨询对于避免未来的诉讼至关重要。
