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Volume 27, Issue 131, January 2023

Asymptomatic incidental primary pelvic hydatid cyst in a post-menopausal woman: A case report

Rajesh Gattani¹, Geetika Malhotra², Swati G Deshpande¹, Harshal Ramteke¹, Krushank Nayak², Ankur Salwan³, Anurag Bhattacharjee⁴

¹Professor, Department of General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, India
²Resident, Department of General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, India
³Resident, Department of Orthopedics and Traumatology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, India
⁴Senior Resident, Department of General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, India

ABSTRACT

The liver and lungs are the two organs most commonly affected by the endemic illness known as hydatid disease. The most typical reason for peritoneal echinococcosis is when a hepatic hydatid cyst ruptures into the peritoneal cavity. A cyst in the pelvic cavity is only deemed main if there are no additional hydatid cysts anywhere else. Here, we describe a solitary pelvic hydatid cyst that manifested without affecting the lungs or any other internal organs. Our patient, a 50-year-old lady, was diagnosed with a thin-walled big cystic mass in the pelvic area by ultrasonography. Her main symptoms were dull aching discomfort around the umbilicus and umbilical hernia. The most likely first diagnosis for her operation was an isolated pelvic mass. Clinical examination and imaging study were done and incidentally diagnosed as a pelvic hydatid cyst disease with dense adhesion between the omentum, bladder and left ovary and left fallopian tube. A laparotomy was performed. The cyst was removed successfully from the surrounding adhesion on the surgical attempt without undue complication. There are no indications of a disease recurrence in the post-operative follow-up. Gynecologists and surgeons should be apprised of the potential for a single main hydatid cyst in the pelvic region and must consider this condition when establishing a differential diagnosis of a primary cystic pelvic mass.

Keywords: Lower back pain, Echinococcus Granulosus, Pelvic mass, Hydatid Cyst, Zoonosis