Iranian Society of Gynecology Oncology

Document Type : Case Report Article


1 Department of Gynecology and Obstetrics, Birjand University of Medical Sciences, Birjand, Iran

2 Department of General Surgery, Zahedan University of Medical Sciences, Zahedan, Iran

3 Department of Urology, Birjand University of Medical Sciences, Birjand, Iran

4 Infectious Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran


Echinococcus granulosus (sensu lato) is the main cause of Cystic hydatid in human and livestock in the world and is considered a neglected tropical disease. Hydatid cysts often form in the liver (50–70%) and less frequently the lung, spleen, kidney, bone, brain and genital system. Ovarian hydatid cyst is one of the rarest cases with nonspecific clinical presentation. Here in a case report study, we report a primary unilateral ovarian hydatid cyst in a 45-years-old woman. This patient was presented with a large pelvic mass. A pelvic multiloculated mass in abdominal ultrasound and a solid-cystic lesion of the left adnexa in CT scan were reported. All other laboratory tests and chest X-ray showed typical results. Molecular method was performed to confirm radiography and staining methods. A cystic mass on the left fallopian tube and ovary was found in the patient's laparotomy and all were resected with the appearance of a tubo-ovarian abscess. Postoperative pathological and molecular diagnosis confirmed a hydatid cyst disease. Five years of follow-up revealed no recurrence of the disease. Hydatid cyst can.


Main Subjects

1. Matini M, Roostaei M, Fallah M, Maghsood AH, Saidijam M, Harandi MF. Genetic identification of Echinococcus granulosus isolates in Hamadan, Western Iran. Iran J Parasitol. 2018;13(3):423.
2. Moradi M, Meamar AR, Akhlaghi L, Roozbehani M, Razmjou E. Detection and genetic characterization of Echinococcus granulosus mitochondrial DNA in serum and formalin-fixed paraffin embedded cyst tissue samples of cystic echinococcosis patients. PloS One. 2019;14(10):e0224501. [DOI:10.1371/journal.pone.0224501] [PMID] [PMCID]
3. Ewnte B. Hydatid cyst of the foot: a case report. J Med Case Rep. 2020;14(1):1-4. [DOI:10.1186/s13256-019-2337-8] [PMID] [PMCID]
4. Dybicz M, Borkowski PK, Jonas M, Wasiak D, Małkowski P. First Report of Echinococcus ortleppi in Human Cases of Cystic Echinococcosis in Poland. Biomed Res Int. 2019;2019:2474839. [DOI:10.1155/2019/2474839] [PMID] [PMCID]
5. Mahmoudi S, Mamishi S, Banar M, Pourakbari B, Keshavarz H. Epidemiology of echinococcosis in Iran: a systematic review and meta-analysis. BMC Infect Dis. 2019;19(1):929. [DOI:10.1186/s12879-019-4458-5] [PMID] [PMCID]
6. Mirahmadi H, Behravan M, Raz A, Tasa D, Namaei MH, Solgi R. Genotyping of the Echinococcus granulosus in Paraffin-Embedded Human Tissue Samples from Iran. Acta Parasitol. 2021;66(2):535-42. [DOI:10.1007/s11686-020-00309-9] [PMID]
7. Zhao Q, Luo J, Zhang Q, Leng T, Yang L. Laparoscopic surgery for primary ovarian and retroperitoneal hydatid disease: a case report. Medicine. 2018;97(3). [DOI:10.1097/MD.0000000000009667] [PMID] [PMCID]
8. Richards JS, Pangas SA. The ovary: basic biology and clinical implications. J Clin Investig. 2010;120(4):963-72. [DOI:10.1172/JCI41350] [PMID] [PMCID]
9. Zare-Bidaki M, Sadrinia S, Erfani S, Afkar E, Ghanbarzade N. Antimicrobial properties of amniotic and chorionic membranes: a comparative study of two human fetal sacs. J Reprod Infertil. 2017;18(2):218.
10. Gamoudi A, Ben KR, Farhat K, Khattech R, Hechiche M, Rahal K. Ovarian hydatic cyst. 7 cases. J Gynecol Obstet Biol Reprod. 1995;24(2):144-8.
11. Gaym A, Abebe D, Degefe D. Hydatid cyst an unusual cause of ovarian enlargement. Ethiop Med J. 2002;40(3):283-91.
12. Adewunmi OA, Basilingappa HM. Primary ovarian hydatid disease in the Kingdom of Saudi Arabia. Saudi Med J. 2004;25(11):1697-700.
13. Konar K, Ghosh S, Konar S, Bhattacharya S, Sarkar S. Bilateral ovarian hydatid disease--an unusual case. Indian J Pathol Microbiol. 2001;44(4):495-6.
14. Nosrati A, Soleymani E, Davoodi L. Ovarian cancer or hydatidosis? A case report. Iran J Parasitol. 2018;13(3):500.
15. Geramizadeh B. Unusual locations of the hydatid cyst: a review from Iran. Iran J Med Sci. 2013;38(1):2.
16. Bozkurt M, Bozkurt DK, Cil AS, Karaman M. rimary ovarian and pararectal hydatid cysts mimicking pelvic endometriosis. Acta Medica Iranica. 2012;50(12):839-42.
17. Nazari Z, Torabizadeh J. Primary hydatid cyst of the fallopian tube: A case report. Casp J Intern Med. 2014;5(3):179.
18. Namavar Jahromi B, Talei AR, Tabei SZ. Primary Hydatidosis of Uterus and Left Fallopian Tube. Iran J Med Sci. 2007;32(2):118-20.
19. Hiller N, Zagal I, Hadas-Halpern I. Echinococcal ovarian cyst. A case report. Int J Reprod Med. 2000;45(3):224-6.
20. Ganjeifar B, Ghafouri M, Shokri A, Yazdi FR, Hashemi SA. Giant Cerebral Hydatid Cyst: A Rare Case Report. Clin Case Rep. 2021;9(3):1774. [DOI:10.1002/ccr3.3908] [PMID] [PMCID]