Çanakkale State Hospital, Department of Obstetrics and Gynecology, Çanakkale, Turkey.
Etlik Zübeyde Hanım Maternity and Women's Health Teaching and Research Hospital, Perinatology Department, Ankara, Turkey.
Yale J Biol Med. 2021 Jun 30;94(2):271-275. eCollection 2021 Jun.
: Zoonotic parasite infections affect many pregnant people around the world. Hydatid cystic disease is also a zoonotic disease caused by sp. This study aims to present the maternal-fetal results and clinical treatment of pregnant women diagnosed with liver hydatid cyst (CH). This zoonotic disease is discussed again in the light of current literature. : Pregnant women with hydatid cyst monitored in a tertiary health center between 2018 and 2020 were evaluated. Seven cases were included in this study. We retrospectively collected and analyzed clinical data, which did not interfere with medical treatment. : Albendazole was started as medical therapy in six patients, and percutaneous drainage was applied to one patient. Three of our six patients who started medical treatment had to undergo surgery due to maternal complications that developed despite medical treatment. Two of our patients were delivered with a cesarean section due to the obstetric indications. : Hydatid cysts are most commonly caused by infection and most common in the liver. The diagnosis of liver hydatid cysts is not difficult, but pregnant women's treatment methods have some problems. Although both medical and surgical treatments are available, there is no consensus. We would also like to underscore that echinococcal disease of the liver should be kept in mind in the differential diagnosis of abdominal pain, jaundice, and/or fever, especially in endemic regions. We think that when we increase awareness about this disease, we can improve fetal and maternal outcomes by making an early diagnosis and management.
: 全世界许多孕妇都受到动物源寄生虫感染。包虫病也是一种由 sp 引起的动物源疾病。本研究旨在介绍诊断为肝包虫囊肿（CH）的孕妇的母婴结果和临床治疗。根据当前文献再次讨论这种动物源疾病。: 在 2018 年至 2020 年期间，在一家三级保健中心对监测到的孕妇包虫病进行了评估。本研究纳入了 7 例患者。我们回顾性地收集和分析了临床数据，这些数据没有干扰治疗。: 6 例患者开始接受阿苯达唑进行药物治疗，1 例患者接受了经皮引流。我们 6 例开始药物治疗的患者中有 3 例因尽管进行了药物治疗仍出现母体并发症而不得不进行手术。我们的 2 例患者因产科指征而行剖宫产分娩。: 包虫囊肿最常见于肝脏，由 感染引起。肝包虫囊肿的诊断并不困难，但孕妇的治疗方法存在一些问题。虽然有药物和手术治疗方法，但尚无共识。我们还想强调，在腹痛、黄疸和/或发热的鉴别诊断中，应考虑到肝脏的包虫病。我们认为，当我们提高对这种疾病的认识时，通过早期诊断和管理，可以改善胎儿和母亲的结局。
