A rare case of pelvic hydatidosis

Abstract

This case report highlights the diagnostic intricacies and clinical implications of pelvic hydatidosis, particularly in the context of the Indian healthcare system. Despite being a rare occurrence, pelvic hydatidosis presents significant challenges in diagnosis and management, necessitating a comprehensive approach for optimal patient care. The case involved a 54-year-old male presenting with right thigh pain and a gradually enlarging groin and thigh swelling. Imaging studies revealed a large cystic lesion with multiple internal cysts extending into the pelvic cavity, suggestive of pelvic hydatidosis. Following confirmation of pelvic hydatidosis, the patient received a 7-day course of albendazole prior to undergoing surgical excision via laparotomy. The cystic mass located in the right thigh's medial aspect was successfully removed, with subsequent peritoneal irrigation and uneventful postoperative recovery. Oral albendazole was prescribed for 6 months, and at the 6-month follow-up, no signs of disease recurrence were observed. Histopathological examination confirmed the diagnosis, showcasing characteristic features of hydatid cysts. The rarity of pelvic hydatidosis compared to other forms of echinococcosis underscores the importance of maintaining a high index of suspicion, especially in regions where the disease is endemic. The complex socioeconomic landscape in India, characterized by poor sanitation and limited healthcare access, contributes to delayed diagnosis and increased morbidity rates.