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Abdominal and pelvic hydatid cyst obstructing the labor
Ebru Zulfikaroglu1, Mine Islimye, Baris Zulfikaroglu
1Department of Obstetrics and Gynecology, Ankara Dr Zekai Tahir Burak Women Health Teaching and Research Hospital, Ankara, Turkey. zebru33@hotmail.com
Bratislavske Lekarske Listy
|November 2, 2010
Summary
Hydatid cystic disease in pregnancy is rare. This case highlights the importance of considering hydatid disease in pregnant patients with obstructed labor due to adnexal masses.
Area of Science:
- Obstetrics and Gynecology
- Parasitology
- Surgical Management
Background:
- Hydatid cystic disease, caused by Echinococcus granulosus, is uncommon during pregnancy.
- Pregnancy complicated by hydatid disease presents diagnostic and management challenges.
- The incidence of hydatid disease in pregnancy is approximately 1 in 20,000 pregnancies.
Observation:
- An 18-year-old primigravida presented with obstructed labor.
- Ultrasonography revealed multiple abdominal and pelvic hydatid cysts.
- Cysts were located on the posterior uterine wall, in the paraovarian region, and omentum, with hepatic involvement.
Findings:
- A healthy infant weighing 3330g was delivered via cesarean section.
- Surgical removal of cysts from the uterus, ovaries, and omentum was successful.
- Hepatic hydatid cysts were partially removed and drained.
Implications:
- Hydatid disease should be included in the differential diagnosis for adnexal masses causing labor obstruction in pregnant individuals.
- Prompt diagnosis and multidisciplinary management are crucial for favorable maternal and fetal outcomes.
- This case underscores the need for increased awareness of parasitic infections in obstetric practice.
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