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CC BY-NC-ND 4.0 · J Lab Physicians 2021; 13(01): 077-079
DOI: 10.1055/s-0041-1726668
Case Report

A Fatal and Rare Case of Hydatid Cyst in the Pouch of Douglas

Ritu Asnani
1   Department of Pathology, K. S. Hegde Medical Academy, Mangalore, Karnataka, India
,
Sunil Kumar Yeshvanth
1   Department of Pathology, K. S. Hegde Medical Academy, Mangalore, Karnataka, India
,
Lancelot Lobo
2   Department of Surgery, K. S. Hegde Medical Academy, Mangalore, Karnataka, India
,
Shipra Sonkusare
3   Department of Obstetrics and Gynaecology, K. S. Hegde Medical Academy, Mangalore, Karnataka, India
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Abstract

Hydatid cyst is a zoonotic infection and a significant public health problem in low- and middle-income countries. A 79-year-old female patient was presented to the gynecology outpatient department with complaints of pain in the abdomen and difficulty in micturition, with a mass palpable per speculum. The ultrasound was suggestive of an ovarian cystadenocarcinoma, whereas computed tomography of the abdomen favored hydatid cyst with adnexal neoplasm as a differential diagnosis. Considering the contradictory findings, a frozen section was sent to confirm the diagnosis, which showed hooklets of Echinococcus granulosus/hydatid cyst under the microscope. This was a rare case of pelvic hydatid cyst mimicking ovarian malignancy and was associated with a less-preferred mode of investigation (frozen section). This article focuses on how a frozen section, despite its limitations and being expensive, can still be considered for accurate patient management.

Keywords

frozen section - hydatid cyst - ovarian adenocarcinoma - zoonotic


Publikationsverlauf

Artikel online veröffentlicht:
19. Mai 2021

© 2021. The Indian Association of Laboratory Physicians. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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