Background: Hydatid cyst in pregnancy is a very rare pathology and its diagnosis and treatment is still a complex problem. This report describes the clinical features and evolution of a pregnant woman operated for a recurrent hepatic hydatid cyst.
Case Report: A 26-year-old multigravida was admitted to our hospital in her 16[sup]th[/sup] week of pregnancy because of dyspeptic complaints. She had had previous operations for hydatid cyst. A 7×5×6 cm recurrent hepatic
hydatid cyst and cholelithiasis were diagnosed on sonographic evaluation. Partial cystectomy, external drainage, and cholecystectomy were performed in the second trimester of her pregnancy. No complication occurred and she gave birth to a healthy baby fi ve months later.
Conclusions: Every physician working in endemic areas should be aware of this potential healthy problems because a hydatid cyst can cause severe complications and be fatal to both mother and baby.

Keywords: Cholelithiasis - surgery, Echinococcosis, Hepatic - surgery, Infant, Newborn, Pregnancy, Pregnancy Complications, Parasitic - surgery, Recurrence