{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T14:57:39Z","timestamp":1791385059988,"version":"4.3.3"},"reference-count":8,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,7]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n                  <jats:p>Cystic echinococcosis usually involves the liver and lungs, whereas uterine involvement is uncommon. A surgically confirmed case of primary intramyometrial echinococcosis in northern Kenya is described. A 29-year-old woman presented with severe anemia secondary to heavy menstrual bleeding. Ultrasound revealed a 12 \u00d7 12 \u00d7 14 cm intramyometrial anechoic lesion initially interpreted as a degenerating leiomyoma. An open myomectomy allowed for an intact excision without rupture. Histopathology revealed laminated acellular membranes and protoscolices consistent with cystic echinococcosis. Hepatic ultrasound and chest radiography revealed no other organ involvement. In endemic settings, hydatid disease should be considered in the differential diagnosis of cystic uterine masses. Preoperative suspicion may reduce the risk of rupture, dissemination, and inappropriate surgical planning.<\/jats:p>","DOI":"10.4269\/ajtmh.26-0209","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T14:29:11Z","timestamp":1785853751000},"page":"824-826","source":"Crossref","is-referenced-by-count":0,"title":["Primary Isolated Intramyometrial Cystic Echinococcosis Presenting with Life-Threatening Anemia"],"prefix":"10.4269","volume":"115","author":[{"given":"Ignacio","family":"Crist\u00f3bal Quevedo","sequence":"first","affiliation":[{"name":"Department of Gynecology, Hospital Cl\u00ednico San Carlos, Madrid, Spain;"},{"name":"Instituto de Investigaci\u00f3n Sanitaria del Hospital Cl\u00ednico San Carlos, Hospital Cl\u00ednico San Carlos, Madrid, Spain;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oscar","family":"Torres Lantada","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Hospital Universitario Sanitas La Zarzuela, Madrid, Spain;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel","family":"Rasero Ponferrada","sequence":"additional","affiliation":[{"name":"Department of Radiology, Hospital Universitario 12 de Octubre, Madrid, Spain;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen","family":"Hern\u00e1ndez P\u00e9rez","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Hospital Cl\u00ednico San Carlos, Madrid, Spain;"},{"name":"Faculty of Medicine, Universidad Complutense de Madrid, Madrid, Spain;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmelo","family":"Loinaz Segurola","sequence":"additional","affiliation":[{"name":"Department of Radiology, Hospital Universitario 12 de Octubre, Madrid, Spain;"},{"name":"Faculty of Medicine, Universidad Complutense de Madrid, Madrid, Spain;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Francisca","family":"Colom Valiente","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Universidad Miguel Hern\u00e1ndez, Alicante, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier","family":"Puentes Motos","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Universidad Miguel Hern\u00e1ndez, Alicante, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ignacio","family":"Crist\u00f3bal Garcia","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Hospital Cl\u00ednico San Carlos, Madrid, Spain;"},{"name":"Faculty of Medicine, Universidad Complutense de Madrid, Madrid, Spain;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"issue":"2","key":"b1","series-title":"Int J Infect Dis","first-page":"125","article-title":"Echinococcosis: A review","volume":"13","author":"Moro","year":"2009"},{"key":"b2","series-title":"BMJ","first-page":"e3866","article-title":"Diagnosis, 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involvement","volume":"37","author":"Zalaquett","year":"2017"},{"issue":"5","key":"b7","series-title":"Parasitology","first-page":"562","article-title":"Extra-hepatopulmonary cystic echinococcosis in Bulgaria: Frequency, management and outcome of the disease","volume":"148","author":"Harizanov","year":"2021"},{"issue":"17","key":"b8","series-title":"N Engl J Med","first-page":"1646","article-title":"Uterine fibroids","volume":"372","author":"Stewart","year":"2015"}],"container-title":["The American Journal of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/115\/4\/article-p824.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/115\/4\/article-p824.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/115\/4\/article-p824.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T14:24:04Z","timestamp":1791383044000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/115\/4\/article-p824.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,7]]},"references-count":8,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.26-0209","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"value":"0002-9637","type":"print"},{"value":"1476-1645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,7]]}}}