Case Report

Splenic hydatid disease in pregnancy

Kirstie F. Thomson, Florence Mahlobo, Denasha L. Reddy
Southern African Journal of HIV Medicine | Vol 23, No 1 | a1363 | DOI: https://doi.org/10.4102/sajhivmed.v23i1.1363 | © 2022 Kirstie Thomson, Florence Mahlobo, Denasha L. Reddy | This work is licensed under CC Attribution 4.0
Submitted: 19 December 2021 | Published: 26 May 2022

About the author(s)

Kirstie F. Thomson, Department of Internal Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
Florence Mahlobo, Department of Radiology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; and, Department of Medical Imaging, Faculty of Health Sciences, University of Johannesburg, Johannesburg, South Africa
Denasha L. Reddy, Department of Internal Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa


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Abstract

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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