Yordanov Angel, Boncev Rosen, Kostov Stoyan, Kornovski Yavor, Ivanova Yonka, Slavchev Stanislav, Todorova Venelina, Karakadieva Konstantina, Tranchev Lazar, Vasileva-Slaveva Mariela
Department of Gynaecological Oncology, Medical University Pleven, Pleven, Bulgaria.
Department of General and Clinical Pathology, University Hospital "D-r. Georgi Stranski", Pleven, Bulgaria.
Prz Menopauzalny. 2023 Dec;22(4):236-239. doi: 10.5114/pm.2023.133791. Epub 2023 Dec 15.
Hydatidosis is a zoonosis caused by the larval form of a cestode of the species Echinococcus granulosus, the canine tapeworm. It can affect any organ of the human body except nails, hair, and cornea. It most often involves the liver, lungs, muscles, and bones. Involvement of organs in the small pelvis is extremely rare, mainly secondary to dissemination of hydatidosis from another organ, and the ovaries are most often involved, followed by the uterus. We present a 41-year-old Caucasian woman with complaints of mild pain, heaviness in the small pelvis, and a fibroid detected by ultrasound examination. She had reported for 2 previous operations for echinococcus cysts, and we found cystic formations in the liver and pelvis by computed tomography. It was decided that it is a recurrence of echinococcosis with a new cyst both in ovary and uterus. A hysterectomy with adnexectomy was performed, and one year later there is no evidence of recurrence of echinococcosis. In the presence of a formation in the small pelvis, one should always think about echinococcosis, especially if there is evidence of previous manifestations of the disease. Diagnosing this disease is extremely important for proper treatment. As rare as uterine involvement is, this possibility should not be overlooked.
包虫病是一种人畜共患病,由犬绦虫细粒棘球绦虫的幼虫形式引起。它可影响人体除指甲、头发和角膜以外的任何器官。最常累及肝脏、肺、肌肉和骨骼。盆腔器官受累极为罕见,主要继发于包虫病从另一器官的播散,最常累及卵巢,其次是子宫。我们报告一名41岁的白种女性,主诉盆腔轻度疼痛、坠胀,超声检查发现子宫肌瘤。她曾因棘球蚴囊肿接受过两次手术,我们通过计算机断层扫描在肝脏和盆腔发现了囊性结构。诊断为包虫病复发,卵巢和子宫均有新囊肿形成。行子宫切除术加附件切除术,一年后无包虫病复发迹象。在盆腔有肿物的情况下,应始终考虑包虫病,尤其是有该病既往表现的证据时。正确诊断该病对恰当治疗极为重要。尽管子宫受累罕见,但这种可能性不应被忽视。