title: [Tuboovarian abscess caused by hydatid cyst: a rare case].
abstract: Primary lesions of hydatid cysts caused by Echinococcus granulosus, are frequently localized in liver, followed by lungs, muscles, kidneys, spleen and bones. Pelvic inoculations are rare and usually occur as a secondary infection. In this report, a case of primary hydatid cyst in the abdomen, spleen and pelvic organs, clinically mimicking tuboovarian abscess, was presented. A nineteen-years-old female patient was admitted to the gynecology outpatient clinic with the complaint of abdominal pain for two days. The case was considered as tuboovarian abscess according to the initial examination findings and hospitalized for treatment and follow-up. In transabdominal ultrasound examination, 44 x 43 mm thin-walled septated cysts in the left ovary and 65 x 65 mm thin-walled multiloculated cysts in the spleen were detected. Abdominal computerized tomography also yielded multivesicular cystic masses in spleen, front abdominal wall and the left ovary. Since the clinical and vital findings worsened, she initially underwent ovarian cystectomy by laparoscopy, then abdominal cystectomy and splenectomy. The operation material examined macroscopically was compatible with hydatid cyst with the characteristics of a germinative membrane and hydatid sand. The diagnosis was confirmed by histopathological examination. The patient was discharged without complication on post-operative sixth day, with a recommendation of albendezol (15 mg/kg/day, 3 months) treatment. Since the patient had undergone emergency surgery, indirect hemaglutination (IHA) test had not been performed pre-operatively. However, post-operative third month serum sample revealed a positive (1/32) IHA titer. In conclusion, hydatid cyst should be kept in mind in the differential diagnosis of patients with abdominal pain, in response to the high prevalence of the parasite in our country.
authors.affiliation: Ordu University, Vocational School of Health, Ordu, Turkey.
authors.forename: Keziban
authors.initials: K
authors.lastname: Doğan
authors.forename: Cihan
authors.initials: C
authors.lastname: Kaya
authors.forename: Ulkü
authors.initials: U
authors.lastname: Karaman
authors.forename: Mustafa Uygar
authors.initials: MU
authors.lastname: Kalaycı
authors.forename: Halil Fırat
authors.initials: HF
authors.lastname: Baytekin
mesh_terms: D018784:Abdominal Abscess / Q000175:diagnosis* / Q000469:parasitology / Q000601:surgery; D015746:Abdominal Pain; D003937:Diagnosis, Differential; D004443:Echinococcosis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D005184:Fallopian Tube Diseases / Q000175:diagnosis* / Q000469:parasitology / Q000601:surgery; D005260:Female; D006801:Humans; D010049:Ovarian Diseases / Q000175:diagnosis* / Q000469:parasitology / Q000601:surgery; D013156:Splenectomy; D013158:Splenic Diseases / Q000175:diagnosis* / Q000469:parasitology / Q000601:surgery; D055815:Young Adult