{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T21:23:02Z","timestamp":1787865782540,"version":"build-2784847793"},"reference-count":14,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,6,28]]},"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:p>Peritoneal hydatidosis, usually secondary to hepatic or splenic hydatidosis, is rarely primary and is reported even less with ongoing pregnancy. We present the case of a multiparous woman in her 30s, currently in the third trimester of pregnancy, presenting for routine screening, showing multiple cystic masses that were revealed to unexpectedly be a giant hydatid cyst on imaging evaluation as a part of the work-up for ovarian mass. Following spontaneous labour, an emergency caesarean section and exploratory laparotomy were performed, revealing over 400 cysts, which were confirmed as hydatid cysts through histopathological examination.<\/jats:p>\n               <jats:p>Management of hydatidosis during pregnancy requires a combined medical and surgical approach. Our patient made a successful recovery, and both the mother and child were healthy. This case underscores the importance of early diagnosis through imaging and maintaining a high index of suspicion for systemic diseases that may complicate pregnancy.<\/jats:p>","DOI":"10.1136\/bcr-2025-264918","type":"journal-article","created":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T09:00:18Z","timestamp":1752742818000},"page":"e264918","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Too many peas in the pod\u2026 encountering primary peritoneal hydatidosis in pregnancy: a rare mass in pregnancy"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-7364-0344","authenticated-orcid":false,"given":"Prachi","family":"Maheshwari","sequence":"first","affiliation":[{"name":"Radiodaignosis, SMS Medical College and Hospital Dr Robert Heilig Library, Jaipur, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anupam","family":"Rajoria","sequence":"additional","affiliation":[{"name":"Radiodaignosis, SMS Medical College and Hospital Dr Robert Heilig Library, Jaipur, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saroj","family":"Kumari","sequence":"additional","affiliation":[{"name":"Radiodaignosis, SMS Medical College and Hospital Dr Robert Heilig Library, Jaipur, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,7,17]]},"reference":[{"key":"2025082701392540000_18.7.e264918.1","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1016\/j.ajog.2022.11.1291","article-title":"Adnexal masses during pregnancy: diagnosis, treatment, and prognosis","volume":"228","author":"Cathcart","year":"2023","journal-title":"Am J Obstet Gynecol"},{"key":"2025082701392540000_18.7.e264918.2","doi-asserted-by":"crossref","unstructured":"Gul M , Younis I , Rathinavelu B , et al . Management of Hydatid Cysts in Pregnancy: A Report of Two Cases and a Review of Literature. Cureus 2023. doi:10.7759\/cureus.46425","DOI":"10.7759\/cureus.46425"},{"key":"2025082701392540000_18.7.e264918.3","doi-asserted-by":"crossref","first-page":"901","DOI":"10.1148\/rg.2017160172","article-title":"Imaging of Hydatid Disease with a Focus on Extrahepatic Involvement","volume":"37","author":"Zalaquett","year":"2017","journal-title":"Radiographics"},{"key":"2025082701392540000_18.7.e264918.4","doi-asserted-by":"crossref","first-page":"123","DOI":"10.4103\/2229-5070.86962","article-title":"Peritoneal hydatidosis: A rare form of a common disease","volume":"1","author":"Sarkar","year":"2011","journal-title":"Trop Parasitol"},{"key":"2025082701392540000_18.7.e264918.5","doi-asserted-by":"publisher","DOI":"10.1148\/rg.232025704"},{"key":"2025082701392540000_18.7.e264918.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.exppara.2015.03.019"},{"key":"2025082701392540000_18.7.e264918.7","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1186\/1752-1947-4-205","article-title":"Hepatopulmonary hydatidosis in a ten-year-old girl: a case report","volume":"4","author":"Anyfantakis","year":"2010","journal-title":"J Med Case Reports"},{"key":"2025082701392540000_18.7.e264918.8","doi-asserted-by":"crossref","unstructured":"Hegde N , Hiremath B . Primary peritoneal hydatidosis. BMJ Case Rep 2013;2013. doi:10.1136\/bcr-2013-200435","DOI":"10.1136\/bcr-2013-200435"},{"key":"2025082701392540000_18.7.e264918.9","doi-asserted-by":"crossref","DOI":"10.1186\/s12879-018-3201-y","article-title":"Medical treatment of cystic echinococcosis: systematic review and meta-analysis","volume":"18","author":"Velasco-Tirado","year":"2018","journal-title":"BMC Infect Dis"},{"key":"2025082701392540000_18.7.e264918.10","first-page":"e0500","article-title":"Giant Hydatid Cysts in Pregnancy","volume":"54","author":"\u00c7ankaya","year":"2021","journal-title":"Journal of the Brazilian Society of Tropical Medicine"},{"key":"2025082701392540000_18.7.e264918.11","unstructured":"Thakare PY . Assistant Professor, Department of Obstetrics and Gynecology. The Journal of Obstretics and Gynaecology of India 2014;64."},{"key":"2025082701392540000_18.7.e264918.12","unstructured":"Gr\u00e1cio MA , Gr\u00e1cio AJS . Hydatid Disease and Pregnancy: A Short Note. Integr Gyn Obstet J 2019."},{"key":"2025082701392540000_18.7.e264918.13","unstructured":"Thompson A , Chiodini PL . F stewart queen\u2019s university, belfast, united kingdom;london school of hygiene and tropical medicine."},{"key":"2025082701392540000_18.7.e264918.14","unstructured":"Khazaal J . Hydatid disease during pregnancy, the challenging management: case report and review of literature. 2021."}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-264918","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T08:39:39Z","timestamp":1756283979000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-264918"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":14,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2025,7,17]]},"published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1136\/bcr-2025-264918"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-264918","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7]]}}}