Primary hydatid cyst of broad ligament

Bhattacharya, Aruna; Saha, Rajesh; Mitra, Sudipan; Nayak, Pamela

doi:10.4103/2229-5070.122148

Cited by 6 publications

(6 citation statements)

References 9 publications

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“…Involvement of female genital tract is extremely rare, Ovaries are involved in such cases. [4][5][6] Disease is usually secondary to hydatidosis affecting abdominal organs, with the pelvis being affected due to spillage during primary surgery. 7 One such exceptional case of primary broad ligament hydatid cyst is being described hereby as the condition is rare and clinically difficult to identify.…”

Section: Discussionmentioning

confidence: 99%

Hydatid cyst of broad ligament: a rare case report

et al. 2020

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Hydatid cyst is a parasitic disease caused by tapeworm Echinococcus. It affects the liver and lung most commonly, but may rarely affect fallopian tube, broad ligament and other structures. One such peculiar case is where a 17 years old female presented with a rapidly growing cystic mass in lower abdomen, clinically suspicious of ovarian mass or mesentric cyst. Investigations failed to identify the nature. On laparotomy, excision of the mass was done. Suprisingly histopathological examination identified the lesion as hydatid cyst arising from the broad ligament. Patient responded well to surgical excision followed by albendazole administration. Female genital tract hydatidosis is a rare entity and in most cases the involvement is secondary. Primary hydatid disease of female genital tract is even very rarer and generates considerable diagnostic difficulty. examination, a cystic mass of 15×12 cm with smooth surface was palpable in the left lower abdomen with restricted mobility. The mass was non tender. There was no hepatosplenomegaly or ascitis.Routine blood and urine examination, chest X-ray revealed no abnormality. Serum CA 125, alfa foeto protein (AFP), carcino embryonic antigen (CEA) was within the normal limits. Ultrasonography (USG) of whole abdomen, suggested.

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Section: Discussionmentioning

confidence: 99%

Hydatid cyst of broad ligament: a rare case report

et al. 2020

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“…Due to their large size, they can cause prolonged and obstructed labour requiring caesarean section [26]. Primary hydatid cyst of the broad ligament is extremely rare and may be misdiagnosed as pedunculated fibroid or a paraovarian cyst [27]. In one study of echinococcosis in an endemic region, the incidence of broad ligament echinococcosis was 0.37% among all cases of hydatid cyst [28].…”

Section: Clinical Presentation Of Pelvic Echinococcosismentioning

confidence: 99%

Genitourinary Hydatid Disease

Kumar¹,

Singh²

2015

Current Topics in Echinococcosis

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Genitourinary echinococcosis is an uncommon cyclo-zoonotic disease. It is caused by Echinococcus species. Kidneys are the common target organs in the genitourinary tract. Clinical presentation is usually non-specific. Pre-operative diagnosis requires a high index of suspicion. It should be considered in differential diagnosis of cystic mass of genitourinary tract, especially in endemic regions. Computed tomography, ultrasonography, and antibody testing aid in diagnosing and classifying the stage of the cyst. Although a number of operative techniques have been described, complete removal of germinal layer with daughter cysts without spillage of viable cyst contents with perioperative medical therapy provides an optimum chance of cure with minimal morbidity. Considering the benign nature of the disease, organ preservation is feasible in majority of the cases. The conventional open surgical treatment has evolved into minimally invasive laparoscopic, endoscopic, and even robotic techniques with concomitant improvement in postoperative and cosmetic outcome. Given the rarity of the disease, no randomized control trial comparing the treatment modalities for genitourinary hydatid exists. Moreover, long-term follow up in many cases is unavailable. Overall, the incidence of local and systemic recurrence is low.

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“…This delay not only worsens the patient's condition but also heightens the risk of intraoperative complications during surgical interventions. 4 The socioeconomic burden in India is substantial, with prolonged hospitalizations, expensive diagnostic procedures, and extensive surgeries imposing significant financial strains, especially in resourcelimited settings. Heightened awareness among healthcare professionals, targeted public health interventions focusing on prevention, and improved access to diagnostic and therapeutic facilities in endemic regions are crucial.…”

Section: Introductionmentioning

confidence: 99%

A rare case of pelvic hydatidosis

Lucas,

Jonnalagadda,

Faizal

2024

IJMMTD

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This case report highlights the diagnostic intricacies and clinical implications of pelvic hydatidosis, particularly in the context of the Indian healthcare system. Despite being a rare occurrence, pelvic hydatidosis presents significant challenges in diagnosis and management, necessitating a comprehensive approach for optimal patient care. The case involved a 54-year-old male presenting with right thigh pain and a gradually enlarging groin and thigh swelling. Imaging studies revealed a large cystic lesion with multiple internal cysts extending into the pelvic cavity, suggestive of pelvic hydatidosis. Following confirmation of pelvic hydatidosis, the patient received a 7-day course of albendazole prior to undergoing surgical excision via laparotomy. The cystic mass located in the right thigh's medial aspect was successfully removed, with subsequent peritoneal irrigation and uneventful postoperative recovery. Oral albendazole was prescribed for 6 months, and at the 6-month follow-up, no signs of disease recurrence were observed. Histopathological examination confirmed the diagnosis, showcasing characteristic features of hydatid cysts. The rarity of pelvic hydatidosis compared to other forms of echinococcosis underscores the importance of maintaining a high index of suspicion, especially in regions where the disease is endemic. The complex socioeconomic landscape in India, characterized by poor sanitation and limited healthcare access, contributes to delayed diagnosis and increased morbidity rates.

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Primary hydatid cyst of broad ligament

Cited by 6 publications

References 9 publications

Hydatid cyst of broad ligament: a rare case report

Hydatid cyst of broad ligament: a rare case report

Genitourinary Hydatid Disease

A rare case of pelvic hydatidosis

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