A rare case: Ovarian hydatid cyst

Abstract

INTRODUCTION: Hydatid cyst is a parasitic disease which is endemic in our country, caused frequently by Echinoccus granulosus and rarely by Echinococcus alveolaris. Although can be found in all organs, hydatid cyst develop most commonly in liver and lung. Ovarian hydatid cyst is quite rare.

CASE: 24 year-old patient was admitted to our hospital with the complaints of abdominal pain and bloating. Ultrasonography and computed tomography revealed an adnexal mass with the suspicion of a mucinous tumor. Therefore, the patient was operated. Hydatid cyst was the preliminary diagnosis in frozen section examination and albendazole treatment was initiated immediately in the postoperative period.

CONCLUSION: Hydatid cyst should be kept in mind in differential diagnosis of adnexal masses in the endemic countries such as Turkey. Typical ultrasonografic findings of cysts in order to facilitate the diagnosis should be known. The main treatment is the surgical removal of all the cysts; technical precautions should be taken to prevent the spillage of the cyst contents. 

Keywords

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Nadir bir olgu: Ovaryan hidatik kist

Öz

GİRİŞ: Kist hidatik çoğunlukla Echinococcus granulosus ve nadiren de Echinococcus alveolaris'in neden olduğu ülkemizde sık görülen paraziter kistik bir hastalıktır. Tüm organlarda görülebilse de en sık yerleştiği organlar karaciğer ve akciğerdir. Adneksiyal alanda görülen kist hidatik hastalığı ise oldukça nadirdir.

OLGU: 24 yaşında karın ağrısı ve karında şişkinlik şikayeti ile kliniğimize başvuran hasta, yapılan ultrasonografi ve bilgisayarlı tomografi tetkikleri neticesinde bilateral müsinöz adneksiyal kitle düşünülerek opere edilmiştir. Frozen inceleme sırasında hidatik kist olduğu tespit edilip post-operatif dönemde buna yönelik tedavi başlanmıştır.

SONUÇ: Türkiye gibi endemik bölgelerde adneksiyal kitlelerin ayırıcı tanısında hidatik kist de akılda bulundurulmalı ve tanıyı kolaylaştırmak için kistin tipik ultrasonografik bulgularına aşina olunmalıdır. Tedavisinde tüm kitlelerin çıkarılması esastır ve kist içeriğinin saçılmasını önlemek için gerekli tedbirler alınmalıdır.

Anahtar Kelimeler

• Hidatik kist; adneksiyal kitle; echinococcus granulosus

Kaynakça

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