Abstract: Introduction: Hydatidosis, caused by
Echinococcus granulosus, is a zoonotic parasitic infection rarely affecting the ovaries. This study describes the clinical, diagnostic, and therapeutic aspects of ovarian hydatid cysts.
Methods: A retrospective descriptive study was conducted at Menzel Temime Regional Hospital, Tunisia, from January 2018 to December 2022, including five women with histologically confirmed ovarian hydatid cysts. Data on demographics, clinical presentation, imaging, surgical management, and outcomes were collected. A literature review contextualized findings.
Results: Incidence was 0.02% (5/25,000 gynecological ad- missions). Mean age was 32.6 years (range: 25-42). All presented with pelvic pain; 60% had palpable masses. Ultrasound showed multiloculated cysts in 80%, with serology positive in 60%. Surgical management involved cystectomy (80%) or oophorectomy (20%), with albendazole adjuvant therapy. No recurrences were noted at 12-month follow-up.
Conclusion: Ovarian hydatidosis is rare but should be considered in endemic areas. Ultrasound and serology aid diagnosis, with surgery and albendazole as mainstays. Multidisciplinary care prevents complications.
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