Hydatid cyst of the uterus: Very rare location

Abstract

The involvement of the genital tract of a hydatid cyst is rare and the occurrence in the uterus is an extreme rarity. The diagnosis of this localization is difficult because the clinical and radiological findings are often misleading and the diagnosis is often worn during surgery and after histopathological examination of the surgical specimen. We report the case of a patient who consulted for primary infertility, with a clinical finding as the only anomaly significantly large uterus, and imaging pointing strongly toward an ovarian multilocular cyst, and in which the discovery of hydatid cyst was accidental intraoperative with double localization uterine and omental. Radical treatment cannot be discussed in this young patient of 32 years and gravid 0. The removal of the cyst wall completely and excision of the mass epiploic seemed reasonable. The patient was placed under Mebendazol and is always under the supervision of a possible recurrence.

Keywords: Hydatid cyst; Omentum; Pelvic; Uterus.

Fig. 1

Pelvic ultrasound showing a multilocular cystic mass with thin septa poorly vascularized on color Doppler (white arrow) measuring 10 × 4 cm, most likely of left ovarian origin.

Fig. 2

Pelvic MRI in T2-weighted images in sagittal plan showing a cystic left lateral uterine multilocular mass (white arrow).

Fig. 3

Hydatid vesicles popping out from hysterectomy (A), epiploic localization of a hydatid cyst (B).