Abstract

SEGURA-GAGO, Gino P.; ESTELA-REYNEL, Rosita; CALISAYA-SANCHEZ, Mónica  and  FLORES-RODRIGUEZ, Marlene. Primary giant splenic hydatid disease in a pregnant woman: case report. Rev. perú. med. exp. salud publica [online]. 2022, vol.39, n.4, pp.495-499.  Epub Dec 22, 2022. ISSN 1726-4634.  http://dx.doi.org/10.17843/rpmesp.2022.394.12130.

Hydatidosis is currently considered a public health problem in Peru. It is a parasitic infection transmitted by the ingestion of eggs of Echinococcus granulosus. The most involved organs are the liver and lungs, with spleen involvement being rare. We present the case of a young pregnant woman with abdominal pain and a sensation of mass in the left hypochondrium. The ultrasound study revealed a multiloculated cystic image in the left hemiabdomen, and a viable fetus. She underwent cesarean section, followed by exploratory laparotomy, which revealed a giant spleen tumor that, according to the anatomopathological study, corresponded to multicystic splenic hydatid disease. Likewise, intrauterine growth restriction was found as a fetal complication. The patient progressed favorably without recurrence of hydatid foci and the neonate had an adequate growth pattern.

Keywords : Echinococcosis; Pregnancy; Spleen; Splenectomy; Fetal Growth Retardation.

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