Incidentally Diagnosed Hydatid Cyst of Uterus
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A 62-year-old postmenopausal woman, resident of Tunisia was admitted to the department of Gynecology and Obstetrics for low abdominal pain lasting for six months. She had no history of the disease. Ultrasonography of the abdomen and pelvis was performed and revealed a large pelvic and cystic mass measuring 8?x?7?cm that was thought to be most likely from the left ovary. No other lesion was found. In order to better assess the mass, a magnetic resonance imaging (MRI) of the pelvis was carried out and suggested the diagnosis of serous cystadenoma of the left ovary. Thereafter, the patient underwent exploratory laparotomy. A cystic mass was found occupying the left ovary. Therefore, left salpingo-oophorectomy was performed and sent for frozen section examination, which confirmed the diagnosis of serous cystadenoma of the left ovary.

Then, a hysterectomy with right salpingo-oophorectomy was done. The specimen was evaluated in the department of pathology and showed on gross examination, a total hysterectomy measuring 6?×?3?x?3?cm. Cut section revealed incidentally a unilocular cyst developing in subserosa of the uterus wall with a diameter of 4?cm and pasty whitish content within ( Fig. 1A). Histologically, the cyst had a fibrous and focally calcified wall ( Fig. 1B) with eosinophil and laminated membrane ( Fig. 1C). Thus, a diagnosis of a hydatid cyst of the uterus caused by the Echinococcus granulosus tapeworm was given. The thoracic computed tomographic scan revealed no pulmonary involvement. The patient received then a 3-month course of albendazole, with any complaint at follow up 6 months later.

Source: https://www.ejog.org/article/S0301-2115(20)30667-9/fulltext?rss=yes
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