Pelvic echinococcosis: parasitic cyst in the pouch of Douglas (A clinical case)
Astrakhanov A.R. Amanzhankyzy A. Amanzholkyzy A. Kurmangazin M.S. Bozgaliyev R.B.
30 September 2025Kaz Med Print LLP
Reproductive Medicine (Central Asia)
2025#2025Issue 3219 - 225 pp.
Background: Echinococcosis remains a significant medical problem in endemic regions, especially due to the increasing number of atypical localizations. Rare forms of the disease, including pelvic cysts, are often detected at late stages, which leads to severe complications, impaired fertility, and diagnostic errors. These features emphasize the need for early detection and increased clinical alertness in managing patients with parasitic cysts of atypical localization. The study aimed to describe a clinical case of an echinococcal cyst in the pouch of Douglas, detected intraoperatively in a patient with a preliminary diagnosis of a benign tumor-like formation of the pelvis, with an emphasis on the features of diagnosis, surgical treatment tactics, and the significance of atypical localization. Materials and methods: The article describes a rare clinical case of an echinococcal cyst in the pouch of Douglas in a patient treated at the Daru Zharygy clinic (Aktobe, Kazakhstan) in 2023. Results: Intraoperative detection of an echinococcal cyst in the pouch of Douglas in a patient with clinical and instrumental signs of a benign tumor-like formation emphasizes the complexity of the differential diagnosis of parasitic cysts in the pelvic area. This case demonstrates the need to include echinococcosis in the list of differential diagnoses for atypical cystic formations of the pelvis, especially in endemic regions. Conclusion: Rare localization of an echinococcal cyst in the pouch of Douglas, disguised as a benign formation, demonstrates diagnostic difficulties in an asymptomatic course. In endemic regions, echinococcosis should be considered in the differential diagnosis of tumor-like formations of the pelvis, especially in patients with infertility of unknown origin.
echinococcosis , helminthiasis , parasitic diseases
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Marat Ospanov West Kazakhstan Medical University, Aktobe, Kazakhstan
Regional Hepatology Center, Aktobe, Kazakhstan
Daru Zharygy Clinic, Aktobe, Kazakhstan
Department of Healthcare of Aktobe region, Aktobe, Kazakhstan
Marat Ospanov West Kazakhstan Medical University
Regional Hepatology Center
Daru Zharygy Clinic
Department of Healthcare of Aktobe region
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