Parametrial hydatid cyst with cystovesical fistula: a rare presentation

Authors

  • Samir Shukla Department of Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India
  • Vidhu S. Khare Department of Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India
  • Mahim Koshariya Department of Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India
  • Vikas Lal Department of Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India
  • Bhupendra Parmar Department of Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India
  • Shashikant Tiwari Department of Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India
  • M. C. Songra Department of Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India

DOI:

https://doi.org/10.18203/2349-2902.isj20195987

Keywords:

Hydatid cyst, Parametrium, Bladder fistula, Cystovesical fistula

Abstract

Hydatid disease is a parasitic infestation by a tapeworm of the genus Echinococcus. Theoretically, echinococcosis can involve any organ. The liver is the most common organ involved, followed by the lungs. However, uterus and and adnexa have an incidence of 0.5-1%. Till date, three cases have been reported in which a parametrial hydatid cyst formed a bladder fistula. A 57 year old female was admitted with complaint of burning micturition along with white coloured urine for the last 15-20 days with no other significant history. On examination and evaluation, it was suspected to a neoplastic pelvic mass causing gross right sided hydronephrosis. All biochemical markers were within normal limits. The patient was explored surgically on which a thick-walled lesion was found in right parametrium. The cavity of the lesion was filled with daughter hydatid cyst, along with communication into the bladder via a fistula. Open cystectomy was done after evacuation of daughter cysts and irrigation with scolicidal agents. The fistula was repaired. The patient recovered uneventfully and was doing well on follow-up. The incidence of hydatid cysts in the female reproductive system is very low and constitutes less than 0.5% of all hydatid cysts. However, rare cases have been reported, thus the clinician must be aware of this rare disease and should take precautions while operating, as any spillage may lead to anaphylactic shock.

Author Biographies

Samir Shukla, Department of Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India

Department of General Surgery

Professor

Vidhu S. Khare, Department of Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India

Department of Surgery

Junior Resident

Mahim Koshariya, Department of Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India

Department of General Surgery

Professor

Vikas Lal, Department of Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India

Department of General Surgery

Assistant Professor

Bhupendra Parmar, Department of Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India

Department of General Surgery

Junior Resident

Shashikant Tiwari, Department of Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India

Department of General Surgery

Junior Resident

M. C. Songra, Department of Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India

Department of General Surgery

Professor & Head of the Department

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Published

2019-12-26

Issue

Section

Case Reports