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Echinococcal cyst in pregnancyFrom: Elrod, Darryl G MAJ 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL)Tue Feb 28 10:29:46 2006
Group, We have just had a 26 yo G2P1 at 19 wks present with diffuse abdominal pain, vomiting, WBC count of 17K. Her workup included abdominal ultrasound that showed a 12 cm liver cyst, c/w echinococcal cyst. CT scan the next morning (today) showed probable rupture of this cyst with an increased amount of free fluid. Because her temperature increased to 101, her WBC count increased to 19K and the findings of the CT scan, the general surgeons decided to operate and drain the cyst. At surgery, there was free fluid noted. The cyst was indeed ruptured through a small hole. 150ml of clear fluid was removed from the cyst. The cyst was opened and a large amount of white opaque gelatinous tissue was removed. There were also noted some typical echinococcal cysts. My question for the group is more a question of management for the remainder of the pregnancy. Treatment options appear to be mebendazole or albendazole for 3-6 months. Both of these are listed as Category C drugs and Reprotox shows possibly some benefit of mebendazole over albendazole, but mostly for first trimester exposure. Has anyone continued drug therapy for this long or have experience at all with treating this? Thanks, Glen //SIGNED// D. Glen Elrod, Maj., USAF, MC Obstetrician/Gynecologist Chief of Obstetrics 48 MDOS/SGOBO RAF Lakenheath, England Telephone DSN: 314-226-8130 Comm: +44 (0) 1638 52 8130 Notice of Confidentiality Under the Privacy Act of 1974, you must safeguard all information reflected on this e-mail and, if applicable, all attachments. Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI 37-131, AFI 37-132, AFI 33-219, and PL 93-579" This e-mail message including any attachments is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Any questions pertaining to disclosure should be directed to the privacy officer.
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