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Pelvic hydatid (echinococcal) disease
Author(s) -
Chelli Dalenda,
Methni Ahlem,
Gatri Chaima,
Boudaya Fethia,
Affes Malika,
Chennoufi Mohamed Bedis
Publication year - 2010
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2009.10.021
Subject(s) - medicine , cystectomy , laparotomy , surgery , abdomen , laparoscopy , physical examination , echinococcosis , retrospective cohort study , pelvic pain , pelvis , pelvic examination , bladder cancer , cancer
Objective To study epidemiologic and clinical features of pelvic hydatid disease and discuss its management. Method A retrospective analysis of 11 cases of pelvic hydatid disease managed over 7 years and 8 months at the Maternity and Neonatalogy Unit, Tunisian Medical Center La Rabta, Tunis, Tunisia. All cases were identified from histopathologic reports. Results The 11 affected patients had a mean age of 41.6 years (range, 22–79 years), 6 had a history of surgery for hydatid disease, 8 presented for chronic pelvic pain, and 1 was admitted for acute surgical abdomen. On physical examination, 6 had a pelvic mass. An ultrasound examination suggested the diagnosis preoperatively in 6. All were treated surgically. Primary laparoscopy was performed in 5 patients. Unroofing (or partial cystectomy) was performed in 6 patients and complete cystectomy in 4. The postoperative course was uneventful in all cases. Recurrence occurred only in 1 patient, 6 months after initial surgery. Conclusion Pelvic hydatid disease is rare and its diagnosis often difficult preoperatively. The treatment mainstay is surgery. The laparoscopic approach seems to be safe and effective, and may increasingly replace laparotomy.