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J Cases Obstet Gynecol, 2016;3(4):115-117
Journal of Cases in
Ob s te tri cs & G yn e co l o g y
Case Report
Primary uterine hydatidosis - A rare occurence
Garima Yadav1,*, Shalini Rajaram2, Rashmi Mallik3, Sanjay Gupta4, Neerja Goel2
1Department of Obstetrics and Gynecology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India
2Department of Obstetrics and Gynecology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India
3Department of Gynecology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India
4Department of Surgery, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India
Abstract
Hydatidosis is a zoonotic infection which commonly affects the liver and the lungs. Secondary sites of infection are reported, although rare-
ly. Primary infection of the uterus is a very rare entity and presents as a clinical dilemma. We hereby, report one such case of primary uter-
ine hydatidosis which was provisionally diagnosed as an ovarian mass and during surgery mimicked a degenerated fibroid of the uterus. Histo-
pathological examination revealed the true diagnosis of a parasitic infection of the uterus most likely hydatidosis. High index of suspicion
is needed in females presenting with cystic uterine or adnexal masses especially in females residing in endemic areas for echinococcus.
Key Words:
Echinococcus, uterine hydatidosis, benign adnexal masses, cystic uterine masses
Introduction uterus which was preoperatively diagnosed as a case of be-
nign ovarian cyst but posed a surgical challenge as the in-
Hydatidosis is a zoonotic infection caused by the larval traoperative diagnosis of uterine hydatidosis was difficult.
stage of tapeworm of the genus Echinococcus. Humans are Case Presentation
the accidental dead end hosts who get infected by the in-
gestion of parasitic eggs excreted in the faeces of the de- A 45-year-old multiparous female was admitted with
finitive host (a carnivore or a rodent). The primary site of
infection is commonly the liver (75%) or lung (15%) while chief complaints of a mass lower abdomen associated with
the infection of remaining of organs is usually secondary. heaviness and increased frequency of micturition for one
Female genital tract is rarely involved wherein hydatid cyst month. There was no associated history of acute abdo-
may present as cystic lesions of the adnexa and uterus [1,2]. men, vomiting, loss of appetite, weight loss or any bow-
Primary hydatidosis of the uterus is a rare entity which el complaints. There was no history of dysuria, nocturia
presents as a clinical dilemma and may mimic a degener- or burning micturition. Patient had no chronic medical or
ated uterine fibroid, a broad ligament fibroid or an ovarian surgical illness. One episode of heavy menstrual bleed-
tumor. We hereby, report a rare case of hydatid cyst of the ing occurred eight months ago for which a hemostatic
curettage was done and histopathology report showed a
Article History: proliferative endometrium. Progestin therapy from men-
Received: 16/09/2015 strual cycle day 15 to day 25 was started and continued
Accepted: 02/12/2015 for 3 months, following which she resumed normal cy-
cles (3-4 days/ 28 days/ average flow/ painless). She was
*Correspondence: Dr. Garima Yadav vegetarian by diet and a washerwoman by profession.
Address: Department of Obstetrics and Gynecology, University Her general physical examination was normal but abdom-
College of Medical Sciences and Guru Teg Bahadur Hospital,
Delhi, INDIA 115
Email: [email protected]
Tel: 91-8800621483, 9873188649
Journal of Cases in Obstetrics & Gynecology
Journal of Cases in
Ob s te tri cs & G yn e co l o g y
Case Report
Primary uterine hydatidosis - A rare occurence
Garima Yadav1,*, Shalini Rajaram2, Rashmi Mallik3, Sanjay Gupta4, Neerja Goel2
1Department of Obstetrics and Gynecology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India
2Department of Obstetrics and Gynecology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India
3Department of Gynecology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India
4Department of Surgery, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India
Abstract
Hydatidosis is a zoonotic infection which commonly affects the liver and the lungs. Secondary sites of infection are reported, although rare-
ly. Primary infection of the uterus is a very rare entity and presents as a clinical dilemma. We hereby, report one such case of primary uter-
ine hydatidosis which was provisionally diagnosed as an ovarian mass and during surgery mimicked a degenerated fibroid of the uterus. Histo-
pathological examination revealed the true diagnosis of a parasitic infection of the uterus most likely hydatidosis. High index of suspicion
is needed in females presenting with cystic uterine or adnexal masses especially in females residing in endemic areas for echinococcus.
Key Words:
Echinococcus, uterine hydatidosis, benign adnexal masses, cystic uterine masses
Introduction uterus which was preoperatively diagnosed as a case of be-
nign ovarian cyst but posed a surgical challenge as the in-
Hydatidosis is a zoonotic infection caused by the larval traoperative diagnosis of uterine hydatidosis was difficult.
stage of tapeworm of the genus Echinococcus. Humans are Case Presentation
the accidental dead end hosts who get infected by the in-
gestion of parasitic eggs excreted in the faeces of the de- A 45-year-old multiparous female was admitted with
finitive host (a carnivore or a rodent). The primary site of
infection is commonly the liver (75%) or lung (15%) while chief complaints of a mass lower abdomen associated with
the infection of remaining of organs is usually secondary. heaviness and increased frequency of micturition for one
Female genital tract is rarely involved wherein hydatid cyst month. There was no associated history of acute abdo-
may present as cystic lesions of the adnexa and uterus [1,2]. men, vomiting, loss of appetite, weight loss or any bow-
Primary hydatidosis of the uterus is a rare entity which el complaints. There was no history of dysuria, nocturia
presents as a clinical dilemma and may mimic a degener- or burning micturition. Patient had no chronic medical or
ated uterine fibroid, a broad ligament fibroid or an ovarian surgical illness. One episode of heavy menstrual bleed-
tumor. We hereby, report a rare case of hydatid cyst of the ing occurred eight months ago for which a hemostatic
curettage was done and histopathology report showed a
Article History: proliferative endometrium. Progestin therapy from men-
Received: 16/09/2015 strual cycle day 15 to day 25 was started and continued
Accepted: 02/12/2015 for 3 months, following which she resumed normal cy-
cles (3-4 days/ 28 days/ average flow/ painless). She was
*Correspondence: Dr. Garima Yadav vegetarian by diet and a washerwoman by profession.
Address: Department of Obstetrics and Gynecology, University Her general physical examination was normal but abdom-
College of Medical Sciences and Guru Teg Bahadur Hospital,
Delhi, INDIA 115
Email: [email protected]
Tel: 91-8800621483, 9873188649
Journal of Cases in Obstetrics & Gynecology
