Unusual locations of intraabdominal hydatid cysts including gynecological organs; Double center experience. Karın içi kisthidatiklerin jinekolojik organları içeren alışılmamış yerleşim yerleri; Çift merkez sonuçları.

Objective: Hydatid disease (HD) is a parasitic infestation that most commonly caused by the larval stage of Echinococcus granulosus. Peritoneal echinococcosis (13%) is usually secondary and primary peritoneal HD is very rare and only sporadic cases have been reported Methods: The demographic data, imaging findings, indirect hemaglutination test (IHAT) levels, surgical approaches, pathological findings, complications and outcomes were analysed. Results: The localization of the hydatid cyst are spleen, as an intraabdominal cys, right adrenal gland, mesentery of the transvers colon, omentum and left tuba, as a pelvic cys, right tuba, and uterus. The surgical procedures includes splenectomy, total cystectomy, partial cystectomy and omentoplasty, total cystectomy and omentectomy, and right adrenalectomy. Conclusion: Isolated primary peritoneal cyst without the presence of cysts in the other intraabdominal organs is very rare and has been reported about 2% of all abdominal HD. The differential diagnosis of primary peritoneal echinococcosis also includes soft tissue tumors, intraperitoneal abscess, cystic lymphangioma, embryonal cyst, ovarian neoplasms, teratoma, and other cystic and necrotic solid tumors. The management of extrahepatic HD is based on the size and location of the cysts and the health status of the patient. The goal of the surgery is removal of the cyst without any spillage.   OZET Amac : Kisthidatik, siklikla Ekinokokus granulozus'un larva formunun yol actigi parazitik bir enfeksiyondur. Karin ici ekinokok enfeksiyonu (%13) genellikle ikincil olusmaktadir ve primer ekinokok enfeksiyonu oldukca nadir gorulmektedir ve sadece sporadik vakalar bildirilmistir. Metodlar: Demografik veriler, goruntuleme bulgulari, indirekt hemaglutinasyon testi (IHAT), cerrahi prosedurler, patolojik bulgular, komplikasyonlar ve sonuclar degerlendirildi. Sonuclar: Hidatik kistin yerlesim yerleri; dalak, karin ici kist, sag surrenal bez, transvers kolon mezenteri, omentum, sol tuba, pelvik kist, sag tuba ve uterustu. Cerrahi prosedur olarak; splenektomi, total kistektomi, parsiyel kistektomiyle beraber omentoplasti, total kistektomiyle beraber omentektomi ve sag adrenalektomi uygulandi. Tartisma: Diger karin ici organlarda kistik lezyon olmadan izole primer karin ici kist hidatik oldukca nadirdir ve tum karin ici kist hidatiklerin %2'si olarak raporlanmaktadir. Primer karin ici kist hidatiklerin ayirici tanisinda; yumusak doku tumorleri, karin ici abse, kistik lenfanjiom, embriyonel kist, over tumorleri, teratom ve diger kistik ve nekrotik solid tumorler yer almakatadir. Karaciger disi kist hidatiklerin tedavi yonetiminde, kistlerin cap ve sayisi ve hastanin genel saglik performansi oldukca buyuk rol oynamaktadir. Cerrahinin ana hedefi karin ici yayilima yol acmadan kisti tamamen cikarmaktir.