Autopsy and Case Reports
Autopsy and Case Reports
Article / Clinical Case Report

Primary pelvic hydatid cyst in a postmenopausal female: a surgical challenge

Sayanti Paul; Saumen Mandal; Mansi Upadhyaya; Sumit Ranjan Pramanik; Subhas Chandra Biswas; Ranu Roy Biswas

Downloads: 2
Views: 1170


Primary pelvic hydatid cysts are a rare entity and are often overlooked as a differential diagnosis of a pelvic-space-occupying lesion particularly in non-endemic regions. Unpreparedness and a hasty decision on the surgical approach may end in life-threatening complications and systemic dissemination of the disease. We report the case of a 55-year-old postmenopausal woman with a history of two previous unsuccessful surgeries to remove pelvic cystic lesions due to dense adhesions between the surrounding gut wall, bladder, and the cyst wall. Clinical and imaging findings failed to diagnose the nature of the cysts, and a laparotomy was contemplated. On the third surgical attempt, the clinical suspicion was considered and by meticulous dissection the cysts were removed thoroughly without undue complications. In the postoperative follow-up period there was no sign of disease recurrence or dissemination.


Echinococcosis; Ovarian Cysts; Zoonoses


1. Ray S, Gangopadhyay M. Hydatid cyst of ovary- a rare entity. J Turk Ger Gynecol Assoc. 2010;11(1):63-4. PMid:24591898.

2. Grosso G, Gruttadauria S, Biondi A, Marventano S, Mistretta A. Worldwide epidemiology of liver hydatidosis including the Mediterranean area. World J Gastroenterol WJG. 2012;18(13):1425-37. PMid:22509074.

3. Fomda BA, Khan A, Thokar MA, et al. Sero-Epidemiological Survey of Human Cystic Echinococcosis in Kashmir, North India. PLoS One. 2015;10(4):e0124813. PMid:25915867.

4. Ghoshal AG, Sarkar S, Saha K, et al. Hydatid lung disease: an analysis of five years cumulative data from Kolkata. J Assoc Physicians India. 2012;60:12-6. PMid:23405534.

5. Hemachander SS, Prasad CR, Jessica M. Morbidity pattern of hydatid disease (cystic echinococcosis) and lack of its knowledge in patients attending Mamata General Hospital, Khammam, Andhra Pradesh. Indian J Pathol Microbiol. 2008;51(1):143-5. PMid:18417888.

6. Prousalidis J, Tzardinoglou K, Sgouradis L, Katsohis C, Aletras H. Uncommon sites of hydatid disease. World J Surg. 1998;22(1):17-22. PMid:9465756.

7. Tsaroucha AK, Polychronidis AC, Lyrantzopoulos N, et al. Hydatid disease of the abdomen and other locations. World J Surg. 2005;29(9):1161-5. PMid:16088421.

8. Vural M, Yalcin S, Yildiz S, Camuzcuoglu H. Isolated type I pelvic cystic echinococcosis mimicking ovarian tumor. N Am J Med Sci. 2011;3(6):289-91. PMid:22540100.

9. Görgen H, Api M, Cetin A. Primary adnexial hydatid cyst mimicking ovarian tumor. J Turk Ger Gynecol Assoc. 2009;10(4):232-4. PMid:24591878.

10. Dede S, Dede H, Caliskan E, Demir B. Recurrent pelvic hydatid cyst obstructing labor, with a concomitant hepatic primary: a case report. J Reprod Med. 2002;47(2):164-6. PMid:11883356.

11. Aybatlı A, Kaplan PB, Yüce MA, Yalçın Ö. Huge solitary primary pelvic hydatid cyst presenting as an ovarian malignancy: case report. J Turk Ger Gynecol Assoc. 2009;10(3):181-3. PMid:24591866.

12. Sayek I, Onat D. Diagnosis and treatment of uncomplicated hydatid cyst of the liver. World J Surg. 2001;25(1):21-7. PMid:11213152.

13. Shambesh MA, Craig PS, Macpherson CN, Rogan MT, Gusbi AM, Echtuish EF. An extensive ultrasound and serologic study to investigate the prevalence of human cystic echinococcosis in northern Libya. Am J Trop Med Hyg. 1999;60(3):462-8. PMid:10466978.

14. Balik AA, Celebi F, Başglu M, Oren D, Yildirgan I, Atamanalp SS. Intra-abdominal extrahepatic echinococcosis. Surg Today. 2001;31(10):881-4. PMid:11759882.

15. el-Tahir MI, Omojola MF, Malatani T, al-Saigh AH, Ogunbiyi OA. Hydatid disease of the liver: evaluation of ultrasound and computed tomography. Br J Radiol. 1992;65(773):390-2. PMid:1611417.

16. World Health Organization (WHO). Echinococcosis/Hydatidosis [Internet]. Geneva: WHO; 2016 [cited 2016 Oct 31]. Available from:

17. Karavias DD, Vagianos CE, Kakkos SK, Panagopoulos CM, Androulakis JA. Peritoneal echinococcosis. World J Surg. 1996;20(3):337-40. PMid:8661841.

18. Pedrosa I, Saíz A, Arrazola J, Ferreirós J, Pedrosa CS. Hydatid disease: radiologic and pathologic features and complications. Radiogr Rev Publ Radiol Soc N Am Inc. 2000;20(3):795-817. PMid:10835129.

Publication date:

595506c80e8825a34f24dc1f autopsy Articles
Links & Downloads

Autops Case Rep

Share this page
Page Sections