Primary Echinococcus Hydatid Cyst of the Uterus: An Unusual Location
Hydatidosis is a widespread anthropozoonosis. It can affect almost any part of the body, but it occurs most commonly in the liver (75%) and the lungs (15%). Its occurrence in female genital tract, especially the uterus, is very rare. Diagnosing hydatid disease at these unusual locations can be diffi...
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| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2021/9977326 |
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| author | Farouk Ennaceur Dhekra Toumi Farouk Jaouad Aymen Mabrouk Ahmed Hajji Mouna Gara Atef Chamakh Ines Zouari Mohamed Maatouk Sami Daldoul Sofien Sayari Karim Haouet Yacine Ben Safta Raja Faleh Mounir Ben Moussa |
| author_facet | Farouk Ennaceur Dhekra Toumi Farouk Jaouad Aymen Mabrouk Ahmed Hajji Mouna Gara Atef Chamakh Ines Zouari Mohamed Maatouk Sami Daldoul Sofien Sayari Karim Haouet Yacine Ben Safta Raja Faleh Mounir Ben Moussa |
| author_sort | Farouk Ennaceur |
| collection | DOAJ |
| description | Hydatidosis is a widespread anthropozoonosis. It can affect almost any part of the body, but it occurs most commonly in the liver (75%) and the lungs (15%). Its occurrence in female genital tract, especially the uterus, is very rare. Diagnosing hydatid disease at these unusual locations can be difficult. Hereby, we report two cases of primary hydatid cyst of the uterus. The first case is that of a 62-year-old woman, G7P5A2, who presented with an eight-month history of chronic pelvic pain. Clinical examination and radiological explorations revealed the presence of a uterine fibroid and a serous cystadenoma of the left ovary. She underwent a hysterectomy and a bilateral adnexectomy. Anatomopathological examination concluded that a serous cystadenoma of the left ovary was a calcified subserous hydatid cyst of the uterine fundus. The second case is that of a 69-year-old woman, G6P4A2, who consulted for chronic pelvic pain that had been evolving for 3 months. The clinical examination and radiological explorations doubted a hydatid cyst of the uterus, with a positive hydatid serology. She underwent a resection of the salient dome. The anatomopathological examination was in favor of a hydatid cyst of the uterus. Hydatid disease is endemic in Tunisia. The pelvic region is rarely affected with an incidence ranging from 0.3 to 0.9%, 80% of which involves the genitals. The uterus is more rarely affected than the ovaries. Most often, it is a contamination secondary to the intra-abdominal rupture of a hydatid cyst of the liver. However, primary uterine hydatid cysts have been reported. Surgery is the Gold Standard for the treatment of uterine hydatid cysts. Exploration of the abdominal cavity is essential in the search for other localizations, particularly hepatic. Postoperative medical treatment with Albendazole can be discussed. The ideal approach to deal with this public health concern is to emphasize the need for improved preventive measures. Modern imaging techniques have significantly improved the detection rates of hydatid cysts in atypical localizations. Indeed, the preoperative diagnosis of uterine hydatidosis requires a meticulous approach which is necessary to initiate an adequate treatment and thus guarantee a better management of the patient. |
| format | Article |
| id | doaj-art-a3445da395fb4dcf8f0624e78de4ed17 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
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| series | Case Reports in Surgery |
| spelling | doaj-art-a3445da395fb4dcf8f0624e78de4ed172025-08-20T03:38:16ZengWileyCase Reports in Surgery2090-69002090-69192021-01-01202110.1155/2021/99773269977326Primary Echinococcus Hydatid Cyst of the Uterus: An Unusual LocationFarouk Ennaceur0Dhekra Toumi1Farouk Jaouad2Aymen Mabrouk3Ahmed Hajji4Mouna Gara5Atef Chamakh6Ines Zouari7Mohamed Maatouk8Sami Daldoul9Sofien Sayari10Karim Haouet11Yacine Ben Safta12Raja Faleh13Mounir Ben Moussa14Department of General and Digestive Surgery A at the University Hospital Charles Nicolle, University of Tunis el Manar, TunisiaDepartment of Gynecology and Obstetrics at the University Hospital of Monastir, University of Monastir, TunisiaDepartment of Anesthesiology at the University Hospital of Monastir, University of Monastir, TunisiaDepartment of General and Digestive Surgery A at the University Hospital Charles Nicolle, University of Tunis el Manar, TunisiaDepartment of Gynecology and Obstetrics at the University Hospital of Monastir, University of Monastir, TunisiaDepartment of Anesthesiology at the University Hospital of Monastir, University of Monastir, TunisiaDepartment of General and Digestive Surgery A at the University Hospital Charles Nicolle, University of Tunis el Manar, TunisiaDepartment of Gynecology and Obstetrics at the University Hospital of Monastir, University of Monastir, TunisiaDepartment of General and Digestive Surgery A at the University Hospital Charles Nicolle, University of Tunis el Manar, TunisiaDepartment of General and Digestive Surgery A at the University Hospital Charles Nicolle, University of Tunis el Manar, TunisiaDepartment of General and Digestive Surgery A at the University Hospital Charles Nicolle, University of Tunis el Manar, TunisiaDepartment of General and Digestive Surgery A at the University Hospital Charles Nicolle, University of Tunis el Manar, TunisiaDepartment of General and Digestive Surgery A at the University Hospital Charles Nicolle, University of Tunis el Manar, TunisiaDepartment of Gynecology and Obstetrics at the University Hospital of Monastir, University of Monastir, TunisiaDepartment of General and Digestive Surgery A at the University Hospital Charles Nicolle, University of Tunis el Manar, TunisiaHydatidosis is a widespread anthropozoonosis. It can affect almost any part of the body, but it occurs most commonly in the liver (75%) and the lungs (15%). Its occurrence in female genital tract, especially the uterus, is very rare. Diagnosing hydatid disease at these unusual locations can be difficult. Hereby, we report two cases of primary hydatid cyst of the uterus. The first case is that of a 62-year-old woman, G7P5A2, who presented with an eight-month history of chronic pelvic pain. Clinical examination and radiological explorations revealed the presence of a uterine fibroid and a serous cystadenoma of the left ovary. She underwent a hysterectomy and a bilateral adnexectomy. Anatomopathological examination concluded that a serous cystadenoma of the left ovary was a calcified subserous hydatid cyst of the uterine fundus. The second case is that of a 69-year-old woman, G6P4A2, who consulted for chronic pelvic pain that had been evolving for 3 months. The clinical examination and radiological explorations doubted a hydatid cyst of the uterus, with a positive hydatid serology. She underwent a resection of the salient dome. The anatomopathological examination was in favor of a hydatid cyst of the uterus. Hydatid disease is endemic in Tunisia. The pelvic region is rarely affected with an incidence ranging from 0.3 to 0.9%, 80% of which involves the genitals. The uterus is more rarely affected than the ovaries. Most often, it is a contamination secondary to the intra-abdominal rupture of a hydatid cyst of the liver. However, primary uterine hydatid cysts have been reported. Surgery is the Gold Standard for the treatment of uterine hydatid cysts. Exploration of the abdominal cavity is essential in the search for other localizations, particularly hepatic. Postoperative medical treatment with Albendazole can be discussed. The ideal approach to deal with this public health concern is to emphasize the need for improved preventive measures. Modern imaging techniques have significantly improved the detection rates of hydatid cysts in atypical localizations. Indeed, the preoperative diagnosis of uterine hydatidosis requires a meticulous approach which is necessary to initiate an adequate treatment and thus guarantee a better management of the patient.http://dx.doi.org/10.1155/2021/9977326 |
| spellingShingle | Farouk Ennaceur Dhekra Toumi Farouk Jaouad Aymen Mabrouk Ahmed Hajji Mouna Gara Atef Chamakh Ines Zouari Mohamed Maatouk Sami Daldoul Sofien Sayari Karim Haouet Yacine Ben Safta Raja Faleh Mounir Ben Moussa Primary Echinococcus Hydatid Cyst of the Uterus: An Unusual Location Case Reports in Surgery |
| title | Primary Echinococcus Hydatid Cyst of the Uterus: An Unusual Location |
| title_full | Primary Echinococcus Hydatid Cyst of the Uterus: An Unusual Location |
| title_fullStr | Primary Echinococcus Hydatid Cyst of the Uterus: An Unusual Location |
| title_full_unstemmed | Primary Echinococcus Hydatid Cyst of the Uterus: An Unusual Location |
| title_short | Primary Echinococcus Hydatid Cyst of the Uterus: An Unusual Location |
| title_sort | primary echinococcus hydatid cyst of the uterus an unusual location |
| url | http://dx.doi.org/10.1155/2021/9977326 |
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