Pelvic hydatid cyst

Case contributed by Dr Kewal Arunkumar Mistry

Presentation

Vague lower abdominal pain. Positive hydatid serology.

Patient Data

Age: 67 years
Gender: Female
Modality: Ultrasound

Transabdominal ultraound revealed a large unilicular cystic lesion in the pelvis without internal echoes, septae or calcifications. Transvaginal ultrasound showed that the lesion is displacing the uterus posteriorly. 

Right lobe of liver shows a well defined mixed echogenicity lesion consistent with inactive hydatid cyst (stage CE4 according to World Health Organization 2001 classification of hepatic hydatid cysts). Spleen showed no lesions.

Note coexistent cholelithiasis.

Case Discussion

Cystic mass of ovarian origin and intraperitoneal hydatid cyst were kept as differentials.The lesion was surgically removed. Histopathology revealed hydatid cyst.

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Case Information

rID: 34875
Case created: 12th Mar 2015
Last edited: 13th Nov 2015
System: Gynaecology
Inclusion in quiz mode: Included

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