Pictorial review: Imaging features of unusual patterns and complications of hydatid disease

Amin, Muhammad Umar; Mahmood, Rabia; Shafique, Mobeen; Khan, Muhammad Shoib; Bilal, Aamir; Siddiqi, Hammad Ahmad

doi:10.3941/jrcr.v3i12.351

Cited by 5 publications

(2 citation statements)

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“…Large pulmonary cysts can shift the mediastinum, induce a pleural reaction, or cause atelectasis of adjacent lung parenchyma. 9 Hydatid lung abscess, pleural effusion, and empyema have also been noted. Pulmonary hydatid disease affects the right lung in *60% of cases.…”

Section: Symptoms and Signsmentioning

confidence: 96%

Disseminated Abdomino-Pelvic Intraperitoneal Hydatid Disease Presenting as Advanced Ovarian Cancer: A Case Report and Review of the Literature

AggarwalIeera

MaheswariManish

RajabRamzi

et al. 2015

Journal of Gynecologic Surgery

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Background: Abdomino-pelvic masses with ascites, peritoneal disease, pleural effusion, and elevated serum CA-125 levels in a patient raises the clinical suspicion of advanced ovarian cancer. However, disseminated tuberculosis and echinococcosis are benign conditions that can mimic an ovarian malignancy. This article presents an unusual case of double benign pathology of an ovarian fibroma and disseminated pelvic hydatid disease that appeared to be advanced ovarian cancer. Case: A 57-year-old postmenopausal woman of Peruvian origin presented with a history of abdominal pain, distension, and chronic cough. On examination, she was noted to be cachectic and had ascites. A chest X-ray showed the presence of pleural effusion. Her serum CA-125 level was elevated. Computed tomography (CT) scans of her thorax, abdomen, and pelvis confirmed the right-sided pleural effusion and revealed the presence of adnexal masses, a calcified parenchymal liver mass, and an omental cake. Initial decision was to start on neoadjuvant chemotherapy in view of the clinical suspicion of advanced ovarian cancer. However, an omental biopsy and a cytologic assessment of her ascitic fluid was negative for cancer. The patient underwent a laparotomy with resection of all macroscopic disease. Histopathology testing showed a left ovarian fibroma. The right ovarian cyst, omental, and other peritoneal nodules all contained hydatid disease. There was no evidence of malignancy. She received albendazole. Results: At her 6-month follow up abdominal ultrasound scan, there was no evidence of disease recurrence and the calcified liver lesion had reduced in size. Conclusions: This highly unusual case highlights the need for histologic and/or cytologic confirmation of malignancy before considering neoadjuvant therapy. With increasing global travel, nonendemic diseases also need to be considered in the differential diagnosis and, thus, eliciting a history regarding foreign travel is important. ( J GYNECOL SURG 31:362)

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Section: Symptoms and Signsmentioning

confidence: 96%

Disseminated Abdomino-Pelvic Intraperitoneal Hydatid Disease Presenting as Advanced Ovarian Cancer: A Case Report and Review of the Literature

AggarwalIeera

MaheswariManish

RajabRamzi

et al. 2015

Journal of Gynecologic Surgery

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“…Le second groupe marque le début de la dégénérescence : on distingue les CE3 (kystique avec membres décollées, CE3a, et les lésions avec vésicules filles et échogè-nes, CE3b). Le troisième groupe inclut les lésions inactives ; les CE4 sont hétérogènes sans vésicules filles, pseudo tissulaire ; les CE5 sont les formes calcifiées [31,32]. En IRM, l'anneau périphérique fortement en hyposignal T2 serait un très bon signe.…”

Section: Complicationsunclassified

Imagerie des lésions infectieuses du foie

Tasu

Hicham

Laurent

et al. 2015

Feuillets de Radiologie

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Coexistent borderline serous cystadenoma with multifocal hydatidosis in a young female: lessons learnt

et al. 2016

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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.

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Pictorial review: Imaging features of unusual patterns and complications of hydatid disease

Cited by 5 publications

References 0 publications

Disseminated Abdomino-Pelvic Intraperitoneal Hydatid Disease Presenting as Advanced Ovarian Cancer: A Case Report and Review of the Literature

Disseminated Abdomino-Pelvic Intraperitoneal Hydatid Disease Presenting as Advanced Ovarian Cancer: A Case Report and Review of the Literature

Imagerie des lésions infectieuses du foie

Coexistent borderline serous cystadenoma with multifocal hydatidosis in a young female: lessons learnt

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