Abstract

THOMSON, Kirstie F.; MAHLOBO, Florence  and  REDDY, Denasha L.. Splenic hydatid disease in pregnancy. South. Afr. j. HIV med. (Online) [online]. 2022, vol.23, n.1, pp.1-4. ISSN 2078-6751.  http://dx.doi.org/10.4102/sajhivmed.v23i1.1363.

INTRODUCTION: Hydatid disease in the South African setting remains an important differential diagnosis in many appropriate clinical presentations, such as splenomegaly. Splenic hydatid disease in pregnancy is a rare and complex disease to manage PATIENT PRESENTATION: In this case report we describe a case of isolated splenic hydatid disease in an HIV-positive woman presenting in her third trimester of pregnancy Management and outcome: A multidisciplinary team consisting of specialists from the high-risk maternity unit, hepatobiliary surgery and infectious diseases planned the management of the patient, which included pre-operative albendazole and elective caesarean section with assisted forceps delivery at 36 weeks' gestation. An elective splenectomy in the post-partum period was planned for definitive management. CONCLUSION: Our aim is to highlight the unique treatment challenges of hydatid disease in pregnancy and the need for a multidisciplinary team approach when managing complex cases of hydatid disease

Keywords : cystic echinococcosis; hydatid disease; pregnancy; spleen; splenomegaly.

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