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      An unusual site for hydatid cyst on ovary misdiagnosed as an ovarian cyst: a case report

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Introduction and importance:

          A hydatid cyst is a parasitic infection that can occur in multiple organs of the body, mostly in the liver. The ovary is one of the very rare locations for those cysts.

          Case presentation:

          The authors report a case of a 43-year-old woman with a primary hydatid cyst, the patient presented with left lower quadrant abdominal pain for 2 months. Ultrasound of the abdomen showed evidence of a multivesicular, fluid-containing cystic lesion in the left adnexa. The mass was excised and a hysterectomy with total left salpingo-oophorectomy was performed. Histopathology confirmed it to be a hydatid cyst.

          Clinical discussion:

          The clinical presentation of an ovarian hydatid cyst can differ, ranging from asymptomatic for years to dull pain if it compresses on the neighbouring organs or tissues, it may even cause a systemic immunological reaction if it ruptures.

          Conclusion:

          Cyst excision when possible is the best treatment, percutaneous sterilization techniques, and drug therapy may also be applied in certain cases.

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          Most cited references8

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          The SCARE 2020 Guideline: Updating Consensus Surgical CAse REport (SCARE) Guidelines

          Riaz Agha, Thomas Franchi, Catrin Sohrabi … (2020)
          The SCARE Guidelines were first published in 2016 and were last updated in 2018. They provide a structure for reporting surgical case reports and are used and endorsed by authors, journal editors and reviewers, in order to increase robustness and transparency in reporting surgical cases. They must be kept up to date in order to drive forwards reporting quality. As such, we have updated these guidelines via a DELPHI consensus exercise.
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            Echinococcosis: Advances in the 21st Century

            Hao Wen, Lucine Vuitton, Tuerhongjiang Tuxun … (2019)
            SUMMARY Echinococcosis is a zoonosis caused by cestodes of the genus Echinococcus (family Taeniidae). This serious and near-cosmopolitan disease continues to be a significant public health issue, with western China being the area of highest endemicity for both the cystic (CE) and alveolar (AE) forms of echinococcosis. Considerable advances have been made in the 21st century on the genetics, genomics, and molecular epidemiology of the causative parasites, on diagnostic tools, and on treatment techniques and control strategies, including the development and deployment of vaccines. In terms of surgery, new procedures have superseded traditional techniques, and total cystectomy in CE, ex vivo resection with autotransplantation in AE, and percutaneous and perendoscopic procedures in both diseases have improved treatment efficacy and the quality of life of patients. In this review, we summarize recent progress on the biology, epidemiology, diagnosis, management, control, and prevention of CE and AE. Currently there is no alternative drug to albendazole to treat echinococcosis, and new compounds are required urgently. Recently acquired genomic and proteomic information can provide a platform for improving diagnosis and for finding new drug and vaccine targets, with direct impact in the future on the control of echinococcosis, which continues to be a global challenge.
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              Guidelines for treatment of cystic and alveolar echinococcosis in humans. WHO Informal Working Group on Echinococcosis.

              WHO (1995)
              Summarized in this article are recent experiences in the treatment of human cystic echinococcosis (CE) and alveolar echinococcosis (AE) of the liver caused by the metacestode stages of Echinococcus granulosus and E. multilocularis, respectively. For CE, surgery remains the first choice for treatment with the potential to remove totally the parasite and completely cure the patient. However, chemotherapy with benzimidazole compounds (albendazole or mebendazole) and the recently developed PAIR procedure (puncture-aspiration-injection-re-aspiration) with concomitant chemotherapy offer further options for treatment of CE cases. Chemotherapy is not yet satisfactory: cure can be expected in about 30% of patients and improvement in 30-50%, after 12 months' follow-up. AE is generally a severe disease, with over 90% mortality in untreated patients. Radical surgery is recommended in all operable cases but has to be followed by chemotherapy for at least 2 years. Inoperable cases and patients who have undergone nonradical resection or liver transplantation require continuous chemotherapy for many years. Long-term chemotherapy may significantly prolong survival, even for inoperable patients with severe AE. Liver transplantation may be indicated as a life-saving measure for patients with severe liver dysfunction, but is associated with a relatively high risk of proliferation of intraoperatively undetected parasite remnants. Details of indications, contraindications, treatment schedules and other aspects are discussed.
              Article 0 comments Cited 102 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Hassan Bdeiwi
                Hala Sultan
                Zaher Mezketli
                Tala jouma Al-hejazi
                Mazen Trissi
                Kinda Kellawi
                Roula Zayat
                AbdulMehdi Al-Hammod
                Journal
                Journal ID (nlm-ta): Ann Med Surg (Lond)
                Journal ID (iso-abbrev): Ann Med Surg (Lond)
                Journal ID (publisher-id): MS9
                Title: Annals of Medicine and Surgery
                Publisher: Lippincott Williams & Wilkins (Hagerstown, MD )
                ISSN (Electronic): 2049-0801
                Publication date Collection: July 2023
                Publication date (Electronic): 20 June 2023
                Volume: 85
                Issue: 7
                Pages: 3735-3738
                Affiliations
                [a ]Faculty of Medicine, University of Aleppo
                Departments of [b ]General Surgery
                [c ]Obstetrics and Gynecology, Faculty of Medicine, University of Aleppo, Aleppo University Hospital, Aleppo, Syria
                Author notes
                [* ]Corresponding author. Address: Faculty of Medicine, University of Aleppo, Aleppo, Syria.Tel.: +96 393 024 2325 E-mail address: hassan.bedewe@ 123456gmail.com (H. Bdeiwi).
                Article
                Publisher ID: AMSU-D-23-00942 Accession ID: 00082
                DOI: 10.1097/MS9.0000000000001004
                PMC ID: 10328643
                PubMed ID: 37427247
                SO-VID: e953a83b-2454-45aa-bb5e-5fc4ee7cf871
                Copyright © Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc.
                License:

                This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0/

                History
                Date received : 20 April 2023
                Date accepted : 10 June 2023
                Categories
                Subject: Case Reports
                Custom metadata
                OPEN-ACCESS TRUE

                Keywords: case report,echinococcus,hydatid cyst,ovarian cyst,ovary
                Data availability:
                Keywords: case report, echinococcus, hydatid cyst, ovarian cyst, ovary

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