Intraabdominal Ruptured Hydatid Cyst in a Pregnant Woman during First Trimester

Document Type : Research Paper

Authors

1 General Surgeon, Gonabad University of Medical Sciences, Gonabad, Iran

2 Internist, Gonabad University of Medical Sciences, Gonabad, Iran

3 Assistant Professor of Radiology, Gonabad University of Medical Sciences, Gonabad, Iran

Abstract

Introduction
Hydatid disease is a parasitic infection which often present as a liver cyst. In pregnancy, misdiagnosis may happen which may result in cyst rupture, anaphylactic shock and death
Case report
In this case we presented an 11 weeks pregnant patient who admitted with abdominal pain followed by anaphylactic shock and treated with emergent laparotomy. Multiple cysts were detected in liver, one of them was ruptured. Pathologic and serologic surveys demonstrated Hydatidosis as the cause. Then treatment with albendazole began for patient. Serial monitoring of liver enzymes and abdominopelvic sonography were performed.
Conclusion
It is important to consider the hydatid cyst as one of the differential diagnoses of abdominal pain (an acute abdomen) during pregnancy in endemic regions.

Keywords

medical journal of mashhad university of medical sciences
Volume 56, Issue 2 - Serial Number 2
May and June 2013
Pages 123-126

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