{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T15:18:40Z","timestamp":1762528720010,"version":"build-2065373602"},"reference-count":9,"publisher":"Pan African Medical Journal","funder":[{"name":"Ningbo Health Science and Technology Program of China","award":["No. 2022y39"],"award-info":[{"award-number":["No. 2022y39"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pan Afr Med J"],"abstract":"<jats:p>Primary ovarian parasitic disease is rare and can masquerade as advanced ovarian carcinoma; we report the first detailed case in a post-menopausal woman that underscores this diagnostic trap. A 51-year-old woman with chronic raw-seafood ingestion presented with bilateral adnexal masses (7cm left, 5cm right), low-grade fever, leukocytosis (13.2 \u00d7 109\/L), markedly elevated C-reactive protein (135mg\/L) and CA-125 (69.5U\/mL), and imaging suggesting ovarian malignancy with ascites. Intra-operatively, a \"frozen pelvis\" with dense adhesions, multiple abscesses and omental cake was found; frozen section excluded neoplasia, leading to total hysterectomy, bilateral salpingo-oophorectomy, appendectomy and abscess debridement guided by infectious-disease principles. Histopathology revealed chronic suppurative granulomatous inflammation with parasitic remnants consistent with echinococcal disease, and the patient remains disease-free at 5 years. Clinicians should include parasitic infection in the differential of complex pelvic masses in patients with raw-food exposure; complete excision adhering to anti-infective surgical protocols prevents misdiagnosis as malignancy and avoids unnecessary oncologic overtreatment.<\/jats:p>","DOI":"10.11604\/pamj.2025.52.35.48948","type":"journal-article","created":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T15:13:54Z","timestamp":1762528434000},"source":"Crossref","is-referenced-by-count":0,"title":["Primary ovarian parasitic diseases mimicking ovarian cancer in the reproductive system: diagnostic challenges and surgical challenges (a case report)"],"prefix":"10.11604","author":[{"given":"Fang","family":"Zhang","sequence":"first","affiliation":[{"name":"Gynecology Department, the Affiliated People's Hospital of Ningbo University, Ningbo, 315000, ZheJia, P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qinwei","family":"Zhang","sequence":"additional","affiliation":[{"name":"Gynecology Department, the Affiliated People's Hospital of Ningbo University, Ningbo, 315000, ZheJia, P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gun","family":"Chen","sequence":"additional","affiliation":[{"name":"https:\/\/orcid.org\/0000-0002-7367-7456"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weili","family":"Yang","sequence":"additional","affiliation":[{"name":"Gynecology Department, the Affiliated People's Hospital of Ningbo University, Ningbo, 315000, ZheJia, P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianbin","family":"Li","sequence":"additional","affiliation":[{"name":"Gynecology Department, the Affiliated People's Hospital of Ningbo University, Ningbo, 315000, ZheJia, P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4870","published-online":{"date-parts":[[2025,9,23]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Cattorini L, Trastulli S, Milani D, Cirocchi R, Giovannelli G, Avenia N et al. Ovarian hydatid cyst: A case report. International journal of surgery case reports. 2011,2(6):100-102. PubMed | Google Scholar","DOI":"10.1016\/j.ijscr.2010.12.005"},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Eckert J, Deplazes P. Biological, epidemiological, and clinical aspects of echinococcosis, a zoonosis of increasing concern. Clin Microbiol Rev. 2004,17(1):107-135. PubMed | Google Scholar","DOI":"10.1128\/CMR.17.1.107-135.2004"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Brunetti E, Kern P, Vuitton DA. Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans. Acta Trop. 2010,114(1):1-16. 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PubMed | Google Scholar","DOI":"10.4322\/acr.2017.012"}],"container-title":["Pan African Medical Journal"],"original-title":[],"deposited":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T15:13:56Z","timestamp":1762528436000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.panafrican-med-journal.com\/content\/article\/52\/35\/full\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,23]]},"references-count":9,"URL":"https:\/\/doi.org\/10.11604\/pamj.2025.52.35.48948","relation":{},"ISSN":["1937-8688"],"issn-type":[{"value":"1937-8688","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,23]]},"article-number":"48948"}}