Shipra S1*, Rajashekar M1, Lancelot L2, Amulya C2, Sruthi T1 and Abhishek P2
1Department of Obstetrics and Gynecology, K S Hegde Medical Academy, India
2Department of General Surgery, K S Hegde Medical Academy, India
Introduction: Primary hydatid cyst is rarely located in the pelvis. It can be easily misdiagnosed as ovarian neoplasm leading to inadequate preparation for the surgery. Main symptoms and important findings: Seventy nine years old postmenopausal lady presented with abdominal pain and difficulty in urination for four days. Her CA-125 levels were raised and abdominal imaging revealed large complex multiloculated ovarian mass causing bilateral gross hydroureteronephrosis along with left ureteric calculus. Therapeutic Intervention: She underwent exploratory laparotomy, removal of the mass and open uretero-lithotomy under general anesthesia, but sustained cardiac arrest in the post-operative period and succumbed to it. The mass was sent for frozen section during surgery, which revealed the diagnosis of hydatid cyst. Conclusion: The risk of morbidity and mortality in a case of pelvic hydatid cyst can be minimized by pre-operative suspicion along with careful dissection and appropriate postoperative management.
Hydatid cyst in pelvis; Differential diagnosis of ovarian neoplasm; Ovarian mass in old women; Primary hydatid cyst
Shipra S, Rajashekar M, Lancelot L, Amulya C, Sruthi T, Abhishek P. Primary Hydatid Cyst Diagnosed as Ovarian Neoplasm- A Case Report. J Gynecol Oncol. 2020; 3(5): 1042.