Alia Yassine Kassab, Mehdi Salmane, Mohammed Fadil, Lina Lasri, Rachida Saouab, Hassane En-Nouali, Issam En-Nafaa, Jamal El Fenni
Journal: Medpeer Publisher
ISSN: 3066-2737
Volume: 3
Issue: 1
Date of Publication: 2026/01/23
Ovarian hydatid cysts are an exceptionally rare manifestation of Echinococcus granulosus, accounting for less than 1% of cases, and can lead to urinary obstruction when compressing the ureters. We report a 73-year-old postmenopausal woman presenting with recurrent renal colic, pelvic heaviness, and right uretero-hydronephrosis. Imaging revealed a multiloculated ovarian cyst and a hepatic cyst, while hydatid serology was positive. The patient underwent surgical excision of both cysts, followed by postoperative Albendazole therapy. Diagnosis relied on a combination of epidemiological exposure, imaging, and serology. This case underscores the need to consider hydatid disease in the differential diagnosis of ovarian cystic lesions, particularly in endemic regions, and highlights that timely surgical intervention combined with antiparasitic therapy can prevent serious complications such as cyst rupture, anaphylaxis, or urinary obstruction, demonstrating the critical role of integrated diagnostic and therapeutic management in rare pelvic hydatidosis.
Ovarian hydatid cyst, Pelvic hydatidosis, Uretero-hydronephrosis, Echinococcus granulosus, Albendazole, Case Report
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