Primary hydatid cyst localized in soft tissue during pregnancy

Abstract

Hydatid cyst in pregnancy is a rare condition. Moreover, it is very rare that it is in the soft tissue other than the liver. In this case, there are no data in the literature on treatment options, but only experience in case presentations. We present a patient who had severe pain during pregnancy due to isolated soft tissue hydatid cyst disease in this case report.

Fatal hydatid cyst in a pregnant woman

“…Hydatid cysts are rare during pregnancy, occurring in 1/20,000 to 1/30,000 pregnancies, but they can be hazardous for both the mother and the fetus [1]. Systemic drug therapy, surgery, and percutaneous treatment [PAIR] can be considered as treatments [2]. Due to the absence of peritonitis and the multiloculated cysts, we performed PAIR in our patient.…”

Hydatid Disease during Pregnancy, the Challenging Management: Case Report and Review of Literature

“…Human echinococcosis, or hydatid disease, also known as "cyst full of water" as described by Hippocrates, is a parasitic infestation of human by a tapeworm called Echinococcus granulosus [1][2][3][4]. This disease can be seen in all population including pregnant women [5,6]. Despite that, it is currently classified among the most neglected parasitic disease [1,5].…”

“…It may remain asymptomatic for many years and may be discovered incidentally by radiography [3,4]. The most common site of hydatid cyst is the liver [4,6]. It might be found also in any part of the body including lungs, bones and soft tissues [3,5,7].…”

“…It might be found also in any part of the body including lungs, bones and soft tissues [3,5,7]. Hydatid cyst in pregnancy is rare, and usually affects the liver [3,6]. Its diagnosis in pregnancy might not be difficult, but the management is problematic [4].…”

“…It requires multidisciplinary care [2]. Both medical and surgical treatment are available but each case should be individualized due to the limited experience, lack of standardized consensus and paucity of information in the literature as only data from case reports are available [6]. For that, obstetricians should be more aware of the clinical features, diagnosis and treatment of this unusual disease [2].…”