2022-RA-267-ESGO Pelvic hydatidosis when is not an ovarian cancer in endemic region: about 5 cases

Introduction/Background Pelvic hydatidosis is a rare localization of echinococcosis. It represents less than 1% all localizations. concerns the genital area in 80%. Diagnosis pelvic hydatid cyst based on good history taking and often difficult due to differential diagnosis with other cystic formations particularly ovarian cancer.The objective our study highlight epidemiological profile, diagnostic therapeutic means hydatidosis. Methodology Retrospective spanning 7 years from January 1, 2015 December 31, 2021 5 patients treated for primary obstetrics gynecology department A at Charles Nicolle’s hospital. Results were studied this work age extremes between 23 71 years. All rural area. Two reported hepatic . In 80% cases, was revealed by an abdominal mass, associated pain 3 cases abnormal postmenopausal uterine bleeding one case. The discovered, case, incidentally during first trimester obstetric ultrasound. underwent abdominopelvic ultrasound showing multi-partitioned (type according GHARBI classification) whose size varied 8 18 cm.Hydatid serology performed came back positive two cases.Complementary CT patients. midline laparotomy straddling umbilicus. pregnant patient cystectomy same time as caesarean section. 4 required medical treatment. Histopathologic examination confirmed cases. Conclusion should always be kept mind any mass developing endemic region.