Resolution of infertility following hydatid cyst removal: a case report

Haya Jebreen Mohammed Warasna; Khalil N. Abuzaina; Sulaiman N. Fakhouri; Farah Bilal Yousef Shahin; Bashar Yaser Hasan Awad; Mohammad Yaser Hasan Awad; Mohamad A. Banat; Mohammad I. Smerat

Mohamad Banat

Resolution of infertility following hydatid cyst removal: a case report

Authors Details :
Haya Jebreen Mohammed Warasna,
Khalil N. Abuzaina,
Sulaiman N. Fakhouri,
Farah Bilal Yousef Shahin,
Bashar Yaser Hasan Awad,
Mohammad Yaser Hasan Awad,
Mohamad A. Banat,
Mohammad I. Smerat

Journal title : Annals of Medicine & Surgery

Publisher : Ovid Technologies (Wolters Kluwer Health)

Online ISSN : 2049-0801

Page Number : 6835-6842

Journal volume : 86

Journal issue : 11

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Introduction and importance: Human echinococcosis, also known as‘hydatid cyst,’ constitutes a zoonotic parasitic disease attributed to Echinococcus granulosus or Echinococcus multilocularis. Primary af ictions occur in the liver and lungs, whilst the implication of alternative organs remains infrequent. The clinical presentation can vary, and large cysts may cause compression symptoms and complications. This case involved a 21-year-old Palestinian female with three large hydatid cysts in the liver, causing compression of adjacent structures and unique clinical manifestations. Case presentation: A female aged 21 arrived with signs of heart palpitations, shortness of breath, tiredness, and pain in the right upper abdomen, alongside a background of infertility. During routine pre-IVF ultrasound, three liver hydatid cysts were unexpectedly found, leading to a referral to the surgical department. Laboratory tests and imaging con rmed this diagnosis. The surgery involved cyst aspiration, hypertonic saline injection, and marsupialization. Post-surgical complications were managed as they occurred. The symptoms lessened afterward, and a successful pregnancy was achieved 9 months post-surgery. Clinical discussion: Zoonotic infection by cystic echinococcosis (CE) primarily engages the liver and lungs. The progression of symptoms is contingent upon cyst placement and resultant pressure on adjacent tissues. Diagnosis requires imaging alongside serological assays, while large cysts necessitate surgical intervention. Conclusion: The presented case underscores the complexity of managing multiple extensive liver hydatid cysts, highlighting the necessity to consider hydatid disease amidst patients presenting with indeterminate symptoms, particularly within endemic zones. An extensive surgical strategy produced positive outcomes, illustrating the signi cance of prompt intervention for symptom alleviation and sustained patient health.