Disseminated pelvic hydatidosis presenting as ovarian carcinomatosis: Successful post‐operative treatment with mebendazole

Abstract

The case of a female with disseminated pelvic cystic hydatidosis presenting as ovarian carcinomatosis 2.5 years after repeated abdominal paracentesis is reported. The diagnosis was made during surgery and confirmed by serology and histological examination. Over 100 cysts were removed from the abdominal cavity and wall. Innumerable small cysts studded the viscera; these and larger inaccessible ones were untouched. Medical cure in this patient was achieved with a combination of partial resection and special irrigation, broad spectrum antibiotic for coverage of infectious episodes and high dose long term mebendazole therapy for 25 months. The danger of blind aspiration in patients coming from endemic areas is emphasized.

A Huge Primary Hydatid Cyst of Uterus: A Case Report and Review of Literature

“…The preoperative ultrasonography and CT scan examination of the abdomen were carried out to explore the nature of the cystic mass and define the relations of this one with the adjacent organs. This two imaging investigations (CT scan and US) have been well established techniques in the evaluation of hydatid disease and in the follow-up [16]. On the CT scan the uterus was found enlarged with an anterior posterior diameter of 194 mm.…”

“…The total surgical removal of all the cysts was applied for our patient and there was no spillage of cyst content at operation. In case of incomplete surgical removal or there was spillage of the cyst content in the abdominal cavity, oral medical treatment "Albendazole" have proved to be quite effective in this situation and should be started in the early post-operative period with a dose of 400 mg twice daily for 28 days followed by an another course of 28 days separated by 15 days of rest [16,29]. We use in this case laparoscopy camera to check the residual cavity which allowed us to detect several daughters' vesicles embedded in folds of this cavity that were not even possible before (Figure 6).…”