Eventually, she recovered well from surgery and was discharged on the seventh postoperative day. In addition, her weight increased by 3 kg in the last 9 months despite reduced food intake. Acta Med Iran. If you are a senior researcher or professor and supervise an early career researcher with the appropriate expertise, we invite you to co-write and mentor them through the peer review process. In particular, in cases with a history of Echinococcus exposure in endemic areas, imaging findings may be misleading. In such cases, the diagnostic workup can be challenging and may cause diagnostic delay. 1a, b). Such ovarian tumors can grow to a very large size with heavy weight, which has been demonstrated in a case report from the early twentieth century showing a multicystic ovarian tumor with a weight of nearly 149 kg [8]. Kushwaha JK, Sonkar AA, Verma AK, Pandey SK. A copy of the written consent is available for review by the Editor-in-Chief of this journal. https://doi.org/10.1186/s13256-020-02388-8, DOI: https://doi.org/10.1186/s13256-020-02388-8. This thematic series, published in 2016, provides a valuable resource for clinicians who are considered producing a case report. 2017 Cystic echinococcosis is a zoonotic infection caused by Echinococcus granulosus. Find out how to express your interest in the scheme here. Article  Due to the abdominal mass, the liver parenchyma was displaced cranially to diaphragm and could only be investigated by a transcostal view. Karlas T, Reinhardt F, Blank V, Lippmann N, Seehofer D, Luebbert C. Frequency and clinical presentation of alveolar and cystic echinococcosis in a tertiary medical center in Germany 2004-2018: lessons from a low-prevalence area. An abdominal ultrasound revealed a huge polycystic formation with cyst-in-cyst configuration filling nearly her whole abdomen. The explanted cystic tumor turned out to be a multilocular mucinous cystadenoma weighing 6135 g originating from the right ovary. Privacy Transvaginal and transabdominal gynecologic sonography revealed normal-sized ovaries, but the right ovarium was of limited visibility. Echinococcosis in Tibetan populations, western Sichuan Province, China. The main cystic tumor consists of many smaller cyst-in-cyst structures. There was no clear relationship between the cystic tumor and the liver, which led to the assumption of primary extrahepatic cystic echinococcosis. In addition, false negative serology test results have been reported in our center in cases with immunosuppression [6]. Radiol Case Rep. 2011;6:486. https://doi.org/10.1136/bcr-2013-200435. b Ultrasound image with the typical cyst-in-cyst sign suspicious for diagnosis of hydatid disease in stage CE2. 2019;32:e00075-18. Furthermore, there was no evidence of another originating organ association of the huge cystic mass. At presentation, she had been living in Germany for 5 years and reported no trips abroad within the last 6 months. As a result of the significant disruption that is being caused by the COVID-19 pandemic we are very aware that many researchers will have difficulty in meeting the timelines associated with our peer review process during normal times. 1905;1:273. The authors declare that they have no competing interests. 2016;54:518–23. Our case clearly illustrates that even a cyst-in-cyst configuration, which is a very typical sign of active Echinococcus infection [4], may also derive from ovarian lesions, especially from cystadenoma or cystadenocarcinoma. In particular, in women of reproductive age, hydatid cysts may be unilocular and can mimic ovarian cystadenoma [13]. 2003;23:475–94. © 2020 BioMed Central Ltd unless otherwise stated. Ovarian mucinous cystadenoma is the most common ovarian neoplasm responsible for 20% of all ovarian tumors. Consequently, we performed an Enzyme-linked Immunosorbent Assay (ELISA) test for Echinococcus species, which turned out to be negative. 2019; [in press]. In July 2019, a median laparotomy was performed and intraoperatively the cystic tumor appeared to derive from the right ovary. Albrecht Boehlig 1, Valentin Blank 2,3, Thomas Karlas 2, Henning Trawinski 4, Hans-Michael Hau 5, Andri Arnosson Lederer 5 & Thomas Berg 1 Journal … Primary abdominal hydatid cyst presenting in emergency as appendicular mass: a case report. In the era of evidence-based practice, we need practice-based evidence. Primary peritoneal hydatidosis accounts for just 2% of all intra-abdominal hydatid diseases [12]. volume 14, Article number: 65 (2020) CAS  She returned 2 days later with worsening tachycardia and hypotension, and she had developed a pericardial effusion. She complained of lack of strength and could only eat a small portion of meals because her abdomen felt increasingly distended. Her past medical history was unremarkable.

A magnetic resonance imaging (MRI) scan which was performed to rule out cysto-biliary fistulas did not show a distinct relationship between the cystic tumor and the liver, which confirmed the ultrasound findings and led to the assumption of primary extrahepatic cystic echinococcosis (see Fig.

Clinicians describe a case report of a patient who initially presented with mild symptoms and stable vital signs. Brown, Authors: Linn Hereide Trovik, Miriam Sandnes, Bjørn Blomberg, Gunhild Holmaas, Aymen Bushra Ahmed, Tor Henrik Anderson Tvedt, Olav Vintermyr and Håkon Reikvam, Authors: Richard Chalmers, Patrick McClellan, Vixey Silva, Natalie Shutt and Carolina Restini, Authors: Atsushi Teramoto, Kota Watanabe, Yuichiro Kii, Miki Kudo, Hidenori Otsubo, Takuro Wada and Toshihiko Yamashita, Authors: Chung Chi Chan and Susmita Ghosh, Authors: Richard A. Rison, Jennifer Kelly Shepphird and Michael R. Kidd, The A preoperative chest X-ray showed no signs of pulmonary cysts. Z Gastroenterol. No fever or enlarged lymph nodes were reported. Terms and Conditions, Journal of Medical Case Reports.

Gulf J Oncolog.

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