Abstract
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.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Beggs I. The radiology of hydatid disease. AJR Am J Roentgenol. 1985;145:639–48.
Polat P, Kantarci M, Alper F, et al. Hydatid disease from head to toe. Radiographics. 2003;23:475–94.
Georgakopoulos PA, Gogas CG, Sariyannis HG. Hydatid disease of the female genitalia. Obstet Gynecol. 1980;55:555–9.
Biswas B, Mondal P, Das T, et al. Rare coexisting primary hydatid cyst and mucinous cyst adenoma of right ovary. Indian J Clin Pract. 2013;24:469–71.
Gungor T, Altinkaya SO, Sirvan L, et al. Coexistence of borderline ovarian epithelial tumor, primary pelvic hydatid cyst, and lymphoepithelioma-like gastric carcinoma. Taiwan J Obstet Gynecol. 2011;50:201–4.
Hangval H, Habibi H, Moshref A, et al. Case report of an ovarian hydatid cyst. J Trop Med Hyg. 1979;82:34–5.
Amin MU, Mahmood R, Shafique M, et al. Pictorial review: imaging features of unusual patterns and complications of hydatid disease. J Radiol Case Rep. 2009;3:1–24.
Lewall DB. Hydatid disease: biology, pathology, imaging and classification. Clin Radiol. 1998;52:863–74.
Jha A, Ullah E, Gupta P, et al. Sonography of multifocal hydatidosis involving lung and liver in a female child. J Med Ultrason. 2013;40:471–4.
Pekindil G, Tenekeci N. Solid appearing pelvic hydatic cyst: transabdominal and transvaginal sonographic diagnosis. Ultrasound Obstet Gynecol. 1997;9:289–91.
Aysun A, Petek BK, Mehmet AY, et al. Huge solitary primary pelvic hydatid cyst presenting as an ovarian malignancy: case report. J Turkish German Gynecol Assoc. 2009;10:181–3.
Ranzini AC, Hale DC, Sonam MD, et al. Ultrasonographic diagnosis of pelvic echinococcosis: case report and review of the literature. J Ultrasound Med. 2002;21:207–10.
Hamamci EO, Besim H, Korkmaz A. Unusual locations of hydatid disease and surgical approach. ANZ J Surg. 2004;74:356–60.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Ethical statement
All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008.
Informed consent
Informed consent was obtained from the patient for being included in this case report.
Conflict of interest
The authors declare that they have no conflict of interest.
About this article
Cite this article
Khalid, S., Jamal, F., Rafat, D. et al. Coexistent borderline serous cystadenoma with multifocal hydatidosis in a young female: lessons learnt. J Med Ultrasonics 43, 553–556 (2016). https://doi.org/10.1007/s10396-016-0727-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10396-016-0727-8