Dilemmas in diagnostics of disseminated echinococcosis.
A case of disseminated peritoneal echinococcosis localized in the small pelvis and ovary was diagnosed in a 12-year old girl. Secondary hydatid echinococcosis following the rupture of a primary liver cyst was presumed. A morphological differential diagnosis of the unilocular and multilocular or alveolar echinococcus in biopsy material was considered. Finding of a protoscolex or at least chitin hooklets suggests a hydatid echinococcus, whereas alveolar or multilocular echinococcus does not produce protoscoleces in humans, hence the absence of their hooklets in the material is considered an important morphological diagnostic criterion.
Klinicki centar Vojvodine, Novi Sad, Institut za patologiju i histologiju.
Dusan
D
Lalosević
Attila
A
Fenyvesi
Vesna
V
Lalosević
Zelimir
Z
Popović
Antal
A
Mesaros
D002648:Child; D004443:Echinococcosis / Q000175:diagnosis* / Q000469:parasitology; D005260:Female; D006801:Humans; D010049:Ovarian Diseases / Q000175:diagnosis; D010532:Peritoneal Diseases / Q000175:diagnosis