Thomson Kirstie F, Mahlobo Florence, Reddy Denasha L
Department of Internal Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Department of Radiology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
South Afr J HIV Med. 2022 May 26;23(1):1363. doi: 10.4102/sajhivmed.v23i1.1363. eCollection 2022.
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.
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.
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.
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.
在南非，包虫病在许多合适的临床表现中，如脾肿大，仍然是一个重要的鉴别诊断。妊娠期脾包虫病是一种罕见且难以处理的复杂疾病。
在本病例报告中，我们描述了一名HIV阳性女性，在妊娠晚期出现孤立性脾包虫病的病例。
一个由高危产科、肝胆外科和传染病专家组成的多学科团队制定了该患者的治疗方案，包括术前使用阿苯达唑，以及在妊娠36周时进行选择性剖宫产并辅以产钳助产。计划在产后进行择期脾切除术以进行确定性治疗。
我们的目的是强调妊娠期包虫病独特的治疗挑战，以及在处理复杂包虫病病例时采用多学科团队方法的必要性。
