Kumar Kaushlendra, Zaidi Ariba, Husain Nuzhat
Dr. Ram Manohar Lohia Institute of Medical Sciences, Department of Pathology, Lucknow, Uttar Pradesh, India.
Autops Case Rep. 2023 Dec 15;13:e2023461. doi: 10.4322/acr.2023.461. eCollection 2023.
Hydatid cyst is a parasitic infestation caused by Echinococcus larvae. Hydatid cyst of the ovary is a highly unusual presentation. Herein, we present a case of a young woman who complained of episodic lower abdominal pain. Ultrasound of the abdomen revealed a multi-cystic left adnexal mass measuring 86 mm x 67 mm. A possibility of ovarian cystic neoplasm was suggested. Unilateral salpingo-oophorectomy was performed. On histopathological examination, a cyst measuring 8.0 x 5.5 x 4.5 cm was found, replacing the entire ovary. The cyst cavity was filled with serous fluid and multiple pearly white membranous structures, giving a multiloculated appearance. Microscopic examination showed a cyst lined by a lamellar membrane containing protoscolices and hooklets. Hydatid disease is a zoonotic ailment caused by tapeworms or, less commonly, . The definitive hosts are carnivores. Humans are the accidental intermediate hosts. The hydatid cyst commonly affects the liver and the lungs. The primary hydatid cyst of the ovary is quite rare, with few case reports in the literature. In most cases, symptoms are vague, and the lesion is misdiagnosed as benign or malignant ovarian cystic neoplasm on clinical and radiological examination. Ovarian hydatid cyst is treated by surgery with ovarian cystectomy as the gold standard. The possibility of a hydatid cyst should be kept under differential diagnoses while evaluating the cystic diseases of the ovary.
包虫囊肿是由棘球绦虫幼虫引起的一种寄生虫感染。卵巢包虫囊肿是一种非常罕见的表现形式。在此，我们报告一例年轻女性病例，该患者主诉间歇性下腹部疼痛。腹部超声显示左侧附件有一个多房性肿块，大小为86 mm×67 mm。提示可能为卵巢囊性肿瘤。遂行单侧输卵管卵巢切除术。组织病理学检查发现一个大小为8.0×5.5×4.5 cm的囊肿，取代了整个卵巢。囊肿腔内充满浆液性液体和多个珍珠白色膜状结构，呈多房外观。显微镜检查显示囊肿内衬有一层含有原头节和小钩的板层膜。包虫病是一种由绦虫引起的人畜共患疾病，较少见的情况下， 。终末宿主是食肉动物。人类是偶然的中间宿主。包虫囊肿通常影响肝脏和肺。卵巢原发性包虫囊肿非常罕见，文献中仅有少数病例报告。在大多数情况下，症状不明确，在临床和影像学检查中，该病变常被误诊为良性或恶性卵巢囊性肿瘤。卵巢包虫囊肿的治疗以手术切除卵巢囊肿为金标准。在评估卵巢囊性疾病时，应将包虫囊肿的可能性纳入鉴别诊断。
