A Rare Case of Secondary Hydatid Cyst: Uterus and Colon Locations in the Same Patient/Nadir Bir Sekonder Kist Hidatik Olgusu: Ayni Hastada Uterus ve Kolon Lokasyonu

The aim of the present study was to present a case with secondary hydatid cysts in both uterus and colon. The patient was a 71-year-old female living in Hakkari, Turkey. She was admitted to the Van Yuzuncu Yil University Faculty of Medicine Medical Center with complaints of chronic abdominal and pelvic pain, and swelling in the abdomen. First, the sagittal T2 weighted magnetic rezonance imaging (MR) showed a type-3 cyst hydatid with daughter vesicles located at the posterior of uterus. Later, MR revealed a type-2 cystic lesion with detached membrane adhered to the anterior wall of colon and it was reported to be associated with abdomen. When the previous liver surgery history of the patient was kept in mind, the new finding was suggestive of a secondary cystic hydatid . In conclusion, it is possible to diagnose secondary cystic echinococcosis in patients with a history of primary cyst surgery in liver or any other organ by combining the symptoms and imaging findings. Keywords: Cystic echinococcosis, uterus, colon, MR, parasite Bu çalismanin amaci hem uterus hem de kolon yerlesimli bir sekonder hidatik kist olgusu sunmaktir. Hasta Hakkari'de yasayan 71 yasinda bir kadindi. Van Yüzüncü Yil Üniversitesi Dursun Odabas Tip Merkezi'ne kronik karin - pelvik bölge agrisi ve karin sisligi sikayeti ile basvurdu. Ilk olarak, sagittal T2 agirlikli manyetik rezonans (MR) görüntülerinde, uterus posteriorunda kiz veziküllerin bulundugu tip-3 kist hidatik saptandi. Daha sonraki MR'de, kolonun ön duvarina yapismis ve karin ile iliskili oldugu bildirilen ayrik membranli tip-2 kistik bir lezyon ortaya çikarildi. Hastanin daha önce karaciger cerrahisi öyküsü olmasi nedeniyle, olgu sekonder kistik hidatik olarak kabul edildi. Sonuç olarak, karacigerde veya baska bir organda primer kist cerrahi öyküsü olan hastalarda semptomlari ve görüntüleme bulgularini birlestirerek sekonder kistik ekinokokkozis tanisi koymak mümkündür. Keywords: Kistik ekinokokkozis, uterus, kolon, MR, parazit