Giant abdominal hydatid cyst masquerading as ovarian malignancy

Area of Science:

• Parasitology
• Abdominal Imaging
• Surgical Management

Background:

• Hydatid disease, caused by Echinococcus granulosus, is a prevalent parasitic infection primarily affecting the liver.
• Rupture of hydatid cysts can lead to disseminated intra-abdominal disease (secondary echinococcosis).
• Non-ruptured, enlarging cysts can present as massive ascites or ovarian tumors, posing diagnostic challenges.

Observation:

• A 30-year-old woman presented with a giant intra-abdominal hydatid cyst.
• The cyst was found to be communicating with the liver.
• The presentation mimicked other intra-abdominal pathologies.

Findings:

• The case involved a giant hydatid cyst originating from the liver.
• Diagnostic imaging confirmed the cyst's communication with the liver parenchyma.
• The patient's condition required specific surgical consideration due to the cyst's size and location.

Implications:

• Giant hydatid cysts require careful diagnostic evaluation to differentiate from other abdominal masses.
• Management strategies must consider the cyst's origin, size, and communication with adjacent organs.
• This case underscores the importance of recognizing atypical presentations of hydatid disease for timely and appropriate intervention.