Abstract
The hydatic cyst cyts is a rare infectious parasitic pathology during pregnancy, which may affect all organs. The patient was a thirty six years old woman who underwent surgery for a hydatic cyst of the liver 14 years age. She had elective cesarean delivery due to maternal request. During the bleeding control, we palpated semi-cystic white mass with smooth border within omentum. Cystectomy was performed. Histopathologic examination was consistent with hydatic cyst. The recurrence rate and/or rapid progression of the disease increase with decreased celluler immunity during pregnancy. Hydatic disease is rarely observed during pregnancy therefore there is not any consensus regarding the recurrence rate and treatment modalities. Surgical removal of the cyst is the recommended and preferable management option in cases whom disease is diagnosed in perinatal period
Keywords
References
- 1. Tertemiz KC, Gökçen B, Önen A, Akkoçlu A. Gebelik ve kist hidatik. Tüberküloz ve Toraks Dergisi 2008; 56(1): 96-99
- 2. Dede S, Dede H, Caliskan E, Demir B. Recurrent pelvic hydatid cyst obstructing labour, with a concomitant hepatic primary. A case report. J Reprod Med 2002; 47: 164-166
- 3. Robertson M, Geerts L, Gebhardt GS. A case of hydatid cyst associated with postpartum maternal death. Ultrasound Obstet Gynecol 2006; 27: 693- 696
- 4. Rodrigues G, Seetharam P. Management of Hydatic Disease (Echinococcosis) in Pregnancy. Obstet Gynecol Surv 2008; 63(2): 116-123
- 5. Yilmaz N, Kiymaz N, Etlik O, Yazici T. Primary hydatid cyst of the brain during pregnancy. Neurol Med Chir (Tokyo) 2006; 46(8): 415-417
- 6. Diav- Citrin O, Shechtman S, Arnon J, Lubart I, Ornoy A. Pregnancy outcome after gestational exposure to mebendazole: a prospective controlled cohort study. Am J Obstet Gynecol 2003; 188: 282-285
- 7. Manterola C, Espinoza R, Munoz S, Vial M, Bustos L, Losada H, Barroso M. Abdominal echinococcus during pregnancy: clinical aspects and management of a series of cases in Chile. Trop Doct 2004; 34: 171-173
- 8. Polat C, Sivaci R, Baki E, Kosar MN, Yilmaz S, Arikan Y. Recurrent hepatic hydatid cyst in a pregnant woman. Med Sci Monit 2007; 13(2): CS 27-29
Abstract
Kist hidatik gebelik sırasında nadir rastlanan, tüm organları tutabilen parazitik bir patolojidir. Otuz altı yaşında ilk gebeliği bulunan hastaya 39. gebelik haftasında maternal istek nedeniyle elektif sezaryen doğum planlandı. Hastanın özgeçmişinde, 14 yıl önce geçirilmiş karaciğer kist hidatik operasyonu bulunmaktaydı. Kanama kontrolü sırasında, omentumda düzgün yüzeyli beyaz renkli, semikistik kitle palpe edildi. Kistektomi uygulandı. Histopatolojik inceleme sonucu kist hidatik olarak bildirildi. Gebelik sırasında hücresel bağışıklığın azalmasıyla hastalığın tekrarlama veya hızlı ilerleme riski bulunmaktadır. Hastalığın gebelikte nadir görülmesi nedeniyle, gebelik sırasında nüks oranları bilinmemektedir ve tedavi konusunda fikir birliği yoktur. Gebelik sırasında tanı konulan olgularda, cerrahi ile kistin eksizyonu önerilen ve tercih edilen tedavi yöntemidir
Keywords
References
- 1. Tertemiz KC, Gökçen B, Önen A, Akkoçlu A. Gebelik ve kist hidatik. Tüberküloz ve Toraks Dergisi 2008; 56(1): 96-99
- 2. Dede S, Dede H, Caliskan E, Demir B. Recurrent pelvic hydatid cyst obstructing labour, with a concomitant hepatic primary. A case report. J Reprod Med 2002; 47: 164-166
- 3. Robertson M, Geerts L, Gebhardt GS. A case of hydatid cyst associated with postpartum maternal death. Ultrasound Obstet Gynecol 2006; 27: 693- 696
- 4. Rodrigues G, Seetharam P. Management of Hydatic Disease (Echinococcosis) in Pregnancy. Obstet Gynecol Surv 2008; 63(2): 116-123
- 5. Yilmaz N, Kiymaz N, Etlik O, Yazici T. Primary hydatid cyst of the brain during pregnancy. Neurol Med Chir (Tokyo) 2006; 46(8): 415-417
- 6. Diav- Citrin O, Shechtman S, Arnon J, Lubart I, Ornoy A. Pregnancy outcome after gestational exposure to mebendazole: a prospective controlled cohort study. Am J Obstet Gynecol 2003; 188: 282-285
- 7. Manterola C, Espinoza R, Munoz S, Vial M, Bustos L, Losada H, Barroso M. Abdominal echinococcus during pregnancy: clinical aspects and management of a series of cases in Chile. Trop Doct 2004; 34: 171-173
- 8. Polat C, Sivaci R, Baki E, Kosar MN, Yilmaz S, Arikan Y. Recurrent hepatic hydatid cyst in a pregnant woman. Med Sci Monit 2007; 13(2): CS 27-29
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | March 1, 2011 |
| Published in Issue | Year 2011Issue: 1 |