OVER TÜMÖRÜNÜ TAKLİD EDEN PRİMER PELVİK HİDATİK KİST: OLGU SUNUMU

Hidatik kist veya Ekinokokkoz, siklikla Ekinokokkus Granulosus larvalari tarafindan olusturulmus bir zoonozdur. Hastalik genellikle yavas buyuyen kistik bir kitle seklinde gorulur ve asemptomatik- dir. Hidatik kistler en sik karaciger (% 63) , akciger (% 25), kas (%5) ve kemiklerde (%5) bulunmasi- na ragmen, kistlere diger organlarda da rastlanabilir. Kistlerin pelvik yerlesimli olmasi ozellikle de burada primer odak olarak teshis edilmesi oldukca nadirdir genellikle karaciger yerlesimli kistin rupturu sonrasi skolekslerin peritona dagilmasi ve sekonder inokulasyonu ile olusur. Biz bu olgu sunumunda; klinigimize karin agrisi ve karinda sislik sikayetleri ile basvurmus, yapilan ultrasonografi ve Manyetik Rezonans(MR) incelemesi neticesinde multikistik over tumoru on ta- nisi ile laparatomi yapilmis, ancak histopatolojik inceleme sonrasi hidatik kist  tanisi almis primer pelvik hidatik kist olgusunu; operasyon bulgulari, radyolojik bulgular ve tedavi yontemleri acisin- dan tartismayi amacladik. Anahtar kelimeler: Hidatik kist; Ekinokokkoz; Over tumorleri ABSTRACT Hydatid cyst or Echinococcosis is a zoonotic infection often caused by the larvea of  Echinococcus Granulosus.. The disease is usually seen as a slow growing cystic mass and is asymptomatic. Cysts are mostly located  at liver (63%), lung (25%), muscle (5%) and bone (5%) but  there are many other organs that cyst could be located at. The presence of hydatic cyst in  the pelvis, particularly diagnosing as primary lesion  is very  rare. Pelvic hydatic cyst  mostly occurs by spreading the scolexes into the peritoneum   resulted from rupture of the cyst   localized in the liver.   We present a case admitted to our clinic  with the complaint of abdominal pain and swelling. After ultrasonography and MRI imaging, laporotomy was done with the prediagnosis of   multicystic ovarian tumor . Histopathological examination diagnosed a case of primary pelvic hydatid cyst. Our aim is   to discuss   this pelvic cyst case  with its operative and   radiographic findings, and treatment methods. K e y w ords: Hydatid cyst; Echinococcos; Ovary neoplasms