背景:囊性包虫病,也被称为包虫病,是一种由一种叫做细粒棘球蚴的寄生虫感染引起的慢性地方病。在罗马尼亚,这种疾病的发病率为每10万人中5.6人,这是多布罗吉地区最高的。肝脏是受影响最大的部位,占病例的68.8%,其次是肺占17.2%。虽然生殖器官中的包虫病病例很少见,发生率仅为0.5%,值得注意的是,这种疾病在全球范围内的妊娠病例也很少见,发生在20,000到30,000妊娠中的1的发生率。
方法:一名怀孕12周的15岁东欧妇女因急性盆腔疼痛出现在急诊室,排尿困难,和尿频。她的实验室检查显示她有尿路感染,盆腔超声显示她的右附件有肿块。尽管接受了治疗,她的症状没有改善,她不得不接受手术切除肿块,结果是包膜囊肿.由于分娩期间胎儿窘迫,她还不得不接受剖腹产分娩。
结论:本医学案例报告提供了在怀孕期间发现的盆腔包虫囊肿的详细描述。使这种情况特别值得注意的是囊肿的不寻常位置-它被发现在子宫右阔韧带的水平。尽管情况复杂,患者能够接受有效治疗,囊肿得到成功治疗,患者和新生儿均获得良好治疗效果.我们希望这份报告可以作为一个有价值的例子,说明医疗专业人员如何驾驭具有挑战性的病例,并为患者提供最佳护理。
BACKGROUND: Cystic echinococcosis, also known as hydatid disease, is a chronic and endemic illness caused by infection with a parasite called Echinococcus granulosus. In Romania, this disease has an incidence rate of 5.6 per 100,000 individuals, which is the highest in the Dobrogea region. The liver is the most affected site, accounting for 68.8% of cases, followed by the lungs at 17.2%. While cases of hydatid disease in the genital organs are rare, occurring at an incidence rate of only 0.5%, it is worth noting that cases of this disease in pregnancy worldwide are also rare, occurring at an incidence rate of 1 in 20,000 to 1 in 30,000 pregnancies.
METHODS: A 15-year-old Eastern-European woman who was 12 weeks pregnant presented to the emergency room with acute pelvic pain, dysuria, and frequent urination. Her laboratory tests showed that she had a urinary tract infection, and pelvic ultrasound revealed that she had a mass on her right adnexa. Despite receiving treatment, her symptoms did not improve, and she had to undergo surgery to remove the mass, which turned out to be a hydatic cyst. She also had to undergo a cesarean section to deliver her baby owing to fetal distress during labor.
CONCLUSIONS: This medical case report provides a detailed description of a pelvic hydatid cyst that was discovered during pregnancy. What makes this case particularly noteworthy is the cyst\'s unusual location-it was found at the level of the right broad ligament of the uterus. Despite the complexity of the situation, the patient was able to receive effective treatment and the cyst was successfully managed with great outcomes for both the patient and the newborn. We hope that this report serves as a valuable example of how medical professionals can navigate challenging cases and provide optimal care for their patients.