Hidatidosis esplénica gigante primaria en una gestante: reporte de caso

Gino P. Segura-Gago; Rosita Estela-Reynel; Mónica Calisaya-Sánchez; Marlene Flores-Rodriguez

doi:10.17843/rpmesp.2022.394.12130

Authors

Gino P. Segura-Gago Departamento de Gastroenterología, Hospital Nacional Hipólito Unanue, Lima, Perú; Sociedad Científica de San Fernando. Universidad Nacional Mayor de San Marcos, Lima, Perú. https://orcid.org/0000-0003-2875-6777
Rosita Estela-Reynel Departamento de Patología Clínica y Anatomía Patológica, Hospital Nacional Hipólito Unanue, Lima, Perú https://orcid.org/0000-0003-1440-8616
Mónica Calisaya-Sánchez Departamento de Patología Clínica y Anatomía Patológica, Hospital Nacional Hipólito Unanue, Lima, Perú https://orcid.org/0000-0003-1021-0936
Marlene Flores-Rodriguez Departamento de Patología Clínica y Anatomía Patológica, Hospital Nacional Hipólito Unanue, Lima, Perú https://orcid.org/0000-0002-8380-0593

DOI:

https://doi.org/10.17843/rpmesp.2022.394.12130

Keywords:

Echinococcosis, pregnancy, Spleen, Splenectomy, Fetal Growth Retardation

Abstract

Hydatidosis is currently considered a public health problem in Peru. It is a parasitic infection transmitted by the ingestion of eggs of Echinococcus granulosus. The most involved organs are the liver and lungs, with spleen involvement being rare. We present the case of a young pregnant woman with abdominal pain and a sensation of mass in the left hypochondrium. The ultrasound study revealed a multiloculated cystic image in the left hemiabdomen, and a viable fetus. She underwent cesarean section, followed by exploratory laparotomy, which revealed a giant spleen tumor that, according to the anatomopathological study, corresponded to multicystic splenic hydatid disease. Likewise, intrauterine growth restriction was found as a fetal complication. The patient progressed favorably without recurrence of hydatid foci and the neonate had an adequate growth pattern.

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