Coexistent borderline serous cystadenoma with multifocal hydatidosis in a young female: lessons learnt.
Hydatid disease (HD) is a commonly occurring zoonotic disease caused by tapeworms of the genus Echinococcus. It is endemic in many parts of the world and can involve almost any organ of the body. Although HD of the liver and lungs is quite common, ovarian involvement is rare. We present a case of a 24-year-old female patient who was diagnosed with multifocal hydatidosis involving the liver and bilateral ovaries on imaging. Postoperative histopathology confirmed the hydatid disease in the liver and one ovary. However, the cystic lesion in the other ovary turned out to be a borderline serous cystadenoma. This case highlights the limitation of imaging in differentiating between simple hydatid cysts and serous cystadenomas of the ovaries. Another point we learnt is that even in the presence of multifocal hydatidosis in endemic regions, serous cystadenoma needs to be considered in imaging differential diagnosis.
Department of Radiodiagnosis, Faculty of Medicine, Jawaharlal Nehru Medical College and Hospital, Aligarh Muslim University, Aligarh, 202002, UP, India. saif2k2@gmail.com.
Saifullah
S
Khalid
Department of Radiodiagnosis, Faculty of Medicine, Jawaharlal Nehru Medical College and Hospital, Aligarh Muslim University, Aligarh, 202002, UP, India.
Faisal
F
Jamal
Department of Obstetrics and Gynaecology, Faculty of Medicine, Jawaharlal Nehru Medical College and Hospital, Aligarh Muslim University, Aligarh, 202002, UP, India.
Dalia
D
Rafat
Department of Pathology, Faculty of Medicine, Jawaharlal Nehru Medical College and Hospital, Aligarh Muslim University, Aligarh, 202002, UP, India.
Murad
M
Ahmed
Department of Radiodiagnosis, Faculty of Medicine, Jawaharlal Nehru Medical College and Hospital, Aligarh Muslim University, Aligarh, 202002, UP, India.
Sabarish
S
Narayanasamy
Department of Radiodiagnosis, Faculty of Medicine, Jawaharlal Nehru Medical College and Hospital, Aligarh Muslim University, Aligarh, 202002, UP, India.
Amber
A
Obaid
Department of Pathology, Faculty of Medicine, Jawaharlal Nehru Medical College and Hospital, Aligarh Muslim University, Aligarh, 202002, UP, India.
Mariam
M
Shadan
D018293:Cystadenoma, Serous / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy; D003937:Diagnosis, Differential; D004443:Echinococcosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy; D005260:Female; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging* / Q000187:drug effects; D008279:Magnetic Resonance Imaging; D010051:Ovarian Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy; D010053:Ovary / Q000000981:diagnostic imaging* / Q000187:drug effects / Q000473:pathology / Q000601:surgery; D014463:Ultrasonography; D055815:Young Adult
Hydatid cyst; Ovary; Pelvic hydatid; Serous cystadenoma