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Introduction <p>Uterine and cervical hydatid cysts are exceptionally rare condition. Given their rarity, they present diagnostic challenges to physicians. This study summarizes reported cases of uterine and cervical hydatid cysts.</p> Methods <p>A systematic review of the literature on uterine and cervical hydatid cysts was conducted. All published cases meeting the following criteria were included: 1) hydatid cyst involving any part of the uterus, including the serosa or any part of the cervix. 2) The presence of a hydatid cyst has been confirmed by diagnostic modalities (serology, imaging, surgical exploration, gross examination, or histopathology).</p> Results <p>Twenty-three reports, including 24 patients, met the inclusion criteria. The majority of cases were from Turkey (29.16%) and Tunisia (20.83%). The mean age of patients was 43.41 ± 22.51 years. A quarter (25%) of patients had an abortion. Abdominal pain was the most common clinical presentation (62.5%). Serology was positive in 33.33% of patients. Ultrasonography was the most frequently employed imaging (95.83%). The mean cyst size was 8.63 ± 2.63. All patients underwent laparotomy. Cystectomy was the most commonly performed procedure (54.16%), followed by total abdominal hysterectomy combined with bilateral salpingo-opherectomy (12.5%) and total abdominal hysterectomy combined with unilateral salpingo-opherectomy (12.5%). Post-operative anthelmintics were administered in 66.67% of patients. No cases of recurrence were reported.</p> Conclusion <p>Uterine and cervical hydatid cysts are rare but clinically critical manifestations of cystic echinococcosis. Surgical management remains the mainstay of treatment, with an increasing trend toward fertility-preserving approaches in younger patients.</p>

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Hydatid Cyst of Uterus and Cervix: A Systematic Review

  • 期刊论文

  • 发表日期：

    2025年10月9日

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  • Hawkar A. Nasralla,
  • Huda M. Muhammad,
  • Nahida H. A. Ahmed,
  • Zhiyan M. Mohammed,
  • Sawen M. Ahmed,
  • Khanda A. Anwar,
  • Murid K. Buzani,
  • Hiwa O. Abdullah,
  • Berun A. Abdalla,
  • Sasan M. Ahmed,
  • Yousif M. Mahmood,
  • Shvan H. Mohammed,
  • Fahmi H. Kakamad

摘要

Introduction

Uterine and cervical hydatid cysts are exceptionally rare condition. Given their rarity, they present diagnostic challenges to physicians. This study summarizes reported cases of uterine and cervical hydatid cysts.

Methods

A systematic review of the literature on uterine and cervical hydatid cysts was conducted. All published cases meeting the following criteria were included: 1) hydatid cyst involving any part of the uterus, including the serosa or any part of the cervix. 2) The presence of a hydatid cyst has been confirmed by diagnostic modalities (serology, imaging, surgical exploration, gross examination, or histopathology).

Results

Twenty-three reports, including 24 patients, met the inclusion criteria. The majority of cases were from Turkey (29.16%) and Tunisia (20.83%). The mean age of patients was 43.41 ± 22.51 years. A quarter (25%) of patients had an abortion. Abdominal pain was the most common clinical presentation (62.5%). Serology was positive in 33.33% of patients. Ultrasonography was the most frequently employed imaging (95.83%). The mean cyst size was 8.63 ± 2.63. All patients underwent laparotomy. Cystectomy was the most commonly performed procedure (54.16%), followed by total abdominal hysterectomy combined with bilateral salpingo-opherectomy (12.5%) and total abdominal hysterectomy combined with unilateral salpingo-opherectomy (12.5%). Post-operative anthelmintics were administered in 66.67% of patients. No cases of recurrence were reported.

Conclusion

Uterine and cervical hydatid cysts are rare but clinically critical manifestations of cystic echinococcosis. Surgical management remains the mainstay of treatment, with an increasing trend toward fertility-preserving approaches in younger patients.