Infected tuboovarian hydatid cyst: a rare cause of tuboovarian abcess

Pelvic hydatid cysts, although rare, must be considered when evaluating a pelvic mass in women living in an endemic area. The pelvis may become secondarily involved as a result of a rupture of the cyst in another location or be the only localization of the disease. If the cyst becomes secondarily in...

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Bibliographic Details
Published in:Clinical and experimental obstetrics & gynecology 2011, Vol.38 (1), p.102
Main Authors: Parlakgumus, H Ayse, Parlakgumus, A, Haydardedeoglu, B, Bolat, F
Format: Article
Language:English
Subjects:
Abdominal Abscess - diagnosis
Abdominal Abscess - parasitology
Abdominal Abscess - therapy
Albendazole - therapeutic use
Antiprotozoal Agents - therapeutic use
Echinococcosis - diagnosis
Echinococcosis - parasitology
Echinococcosis - therapy
Female
Humans
Laparotomy
Liver Diseases, Parasitic - parasitology
Magnetic Resonance Imaging
Middle Aged
Ovarian Cysts - diagnosis
Ovarian Cysts - parasitology
Ovarian Cysts - therapy
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Summary:Pelvic hydatid cysts, although rare, must be considered when evaluating a pelvic mass in women living in an endemic area. The pelvis may become secondarily involved as a result of a rupture of the cyst in another location or be the only localization of the disease. If the cyst becomes secondarily infected, it may mimic a tuboovarian abscess. A 49-year-old multipara was admitted to the emergency department with the complaint of fever, generalized abdominal pain and distension. Abdominal ultrasound revealed a 4 cm cystic structure in the liver and the gynecological examination was normal. The patient's abdominal pain receded spontaneously, so she was prescribed albendazole and discharged from the hospital. Ten days later, she complained of pelvic pain, pressure and vaginal discharge. The uterus and adnexa were tender on pelvic examination. Ultrasound revealed an 8 cm uniloculated cyst with free floating internal echogenities located between the bladder and the uterus. At surgery a 10 cm right-sided tuboovarian mass was present. A germinative membrane was present inside the abscess and pericystectomy with unilateral salphingo-oophorectomy was performed.
ISSN:0390-6663
2709-0094