Although echinococcal disease of the liver is common in some parts of the world, it is rarely seen in theUnited States. Even from endemic areas, few reports deal with its treatment during pregnancy. A 25 year old18 week pregnant Italian woman presented with pruritis and right upper quadrant pain. Ultrasoundrevealed a cystic lesion in the left lobe of the liver. The cyst was treated by operative insertion of hypertonicsaline and capsulorrhaphy. The patient and her fetus had no postoperative complications. We believe thatthe pregnant patient with symptomatic hepatic echinococcal disease should be treated operatively and thatinsertion of hypertonic saline and capsulorrhaphy is the safest and most effective technique for both themother and fetus.
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