A Medical Anomaly Report of Asymptomatic Echinococcal Cyst in Liver Showcasing through Menorrhagia: Case Report

Background: Hydatid disease is a parasitic infestation caused by Echinococcus granulosus, most commonly affecting the liver.While typical presentations include abdominal pain or mass, asymptomatic cases are often incidental.Rarely, hepatic echinococcal cysts may manifest with unrelated gynecological symptoms, posing a diagnostic challenge.Methods: We report the case of a 35-year-old female presenting with isolated menorrhagia without any abdominal complaints.A routine ultrasound for pelvic evaluation incidentally revealed a cystic lesion in the liver.Further imaging confirmed it as a hydatid cyst.Results: There were no hepatic symptoms or eosinophilia.Serological testing supported the diagnosis.The patient was treated with albendazole preoperatively, followed by surgical excision of the cyst.Histopathology confirmed the diagnosis.The patient recovered uneventfully with a resolution of gynecological symptoms post-treatment.Conclusion: This case highlights the rare presentation of an asymptomatic hepatic echinococcal cyst through gynecological symptoms like menorrhagia.Clinicians should consider hepatic evaluation in unexplained pelvic complaints to avoid delayed or missed diagnoses.