scholarly journals Trauma-Induced Rupture of Liver Hydatid Cyst: A Rare Cause of Anaphylactic Shock

2021 ◽  
Vol 07 (04) ◽  
pp. e347-e350
Author(s):  
Charif Khaled ◽  
Antoine Kachi
Keyword(s):  
Hydatid Cyst ◽  
Hemorrhagic Shock ◽  
Anaphylactic Shock ◽  
Diagnostic Tools ◽  
Abdominal Organ ◽  
Liver Hydatid Cyst ◽  
Abdominal Bleeding ◽  
The World ◽  
Polytrauma Patient ◽  
Careful Management

AbstractHydatid disease is rare; nevertheless, several areas of the world are endemic. Lebanon is one of the endemic countries. This disease requires careful management, as its diagnosis is tough, and its complications are severe and can lead to sudden death. These complications include fistulas, infection, and rupture. Rupture of a hydatid cyst can mimic acute abdomen and show an array of nonspecific symptoms. It could be mistaken for hemorrhagic shock, trauma, or injury to an intra-abdominal organ. The diagnosis of ruptured hydatid cyst should be kept in mind in cattle-raising countries. We report the case of a polytrauma patient who was suspected to have severe intra-abdominal bleeding and hemorrhagic shock, but imaging and laparotomy showed the rupture of a liver hydatid cyst that drove the patient into anaphylactic shock. This article reviews similar cases in the literature and discusses the diagnostic tools, appropriate management, and expected complications.

Anaphylactic shock during liver hydatid cyst surgery

2012 ◽  
Vol 24 (2) ◽  
pp. 173-174
Author(s):  
Mohammed Khallouki ◽  
Younes Rouiessi ◽  
Youssra Danaoui ◽  
A. Sihami ◽  
M.A. Samkaoui ◽  
...  
Keyword(s):  
Hydatid Cyst ◽  
Anaphylactic Shock ◽  
Liver Hydatid Cyst

scholarly journals Hydatid cysts of the liver rupture into the peritoneal cavity: Fifteen cases and review of the literature

2021 ◽  
Author(s):  
Atef MEJRI ◽  
Khaoula ARFAOUI ◽  
Sarra SAAD ◽  
Jasser RCHIDI ◽  
Ahmed OMRI ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Hydatid Cyst ◽  
Peritoneal Cavity ◽  
Cyst Wall ◽  
Anaphylactic Shock ◽  
Acute Abdominal Pain ◽  
Abdominal Cavity ◽  
Surgical Care ◽  
Liver Hydatid Cyst ◽  
The Mean

Abstract BackgroundHydatid cyst is an infectious disease caused mainly by E. Granulosus, which is generally considered benign, however, the rupture of the hepatic Hydatid Cyst to the abdominal cavity is a life-threatening incident that requires urgent and multidisciplinary management (emergency physician, radiologists, aneasthetists and surgeons). This study aims to describe the various clinical and paraclinical features of ruptured liver hydatid cyst in the peritoneal cavity, and to detail the appropriate treatment.Materials and MethodsFifteen cases of ruptured liver hydatid cyst into the abdominal cavity that underwent urgent surgery were collected over a period of eight years. Results There were nine men and six women. The average age was 38 years. Two patients were admitted with abdominal trauma. All patients presented with acute abdominal pain. Only one patient had anaphylactic shock. Abdominal ultrasound showed discontinuous cyst wall and intraperitoneal fluid in 100% of cases. Abdominal computed tomography (CT) showed discontinuous cyst wall with intraperitoneal fluid in 100% of cases. Intraoperatively, the intraperitoneal fluid was clear in thirteen cases and purulent in two. All patients underwent unroofing procedure associated with intra-operative peritoneal lavage and external drainage. The mean hospital stay was 6.11 days and the mean follow-up was 19 months. No case of recurrence was reported among the patients.ConclusionRupture of a hydatid cyst in the abdominal cavity should be considered as a differential diagnosis in every case of an acute abdominal pain, especially in endemic areas and in presence of an allergic reaction or signs of anaphylactic shock. Combined medical and surgical care starting in the emergency room is the only guarantee of a good outcome.

scholarly journals Hydatid Cyst Migration in Peritoneal Cavity: A Case Report

2019 ◽  
Vol 18 (2) ◽  
pp. 254-258
Author(s):  
Petar Markov ◽  
Ilija Milev ◽  
Aleksandar Mitevski
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Hydatid Cyst ◽  
Anaphylactic Shock ◽  
Mass Effect ◽  
Abdominal Organ ◽  
Hydatid Cysts ◽  
Simple Cyst ◽  
Cystic Formation ◽  
Abdominal Exploration

Introduction. Cystic echinococcosis is a zoonosis caused by the larval stage of Echinococcus granulosus. In most of cases hydatid cysts are found in the liver but in rare cases a migration of the hydatid cyst can occur following rupture of hepatal pericist.Case. A 38 year old female presented with abdominal pain, fatigue, weakness and fever for more than three months. Computed tomography show segment II and IV hepatic per-magna cystic formations with dimensions: No I: 80×60×74 mm and No. II: 70×60×58 mm. Per magna cystic formation in the Douglas space, with dimensions of 93×90×62 mm with clearly expressed mass effect on surrounding organ structures.Discussion. Active hydatid disease may show migration of cysts due to rupture of hepatal pericyst, pressure difference between the anatomic cavities, and by contribution of gravity. Sudden death, anaphylactic shock and dissemination of disease can be seen with cystic content spillage into the peritoneal cavity.Conclusion. Migrated hydatid cysts are very rare parasitic manifestation presenting with symptoms deriving from the neighboring organs. They are diagnosed typically by CT and managed with evacuation of cysts following abdominal exploration. Full abdominal organ ultrasonography, with accent on the liver, should be performed in any case of intraabdominal simple cyst presence.

scholarly journals Anaphylactic Shock in Patient with Hepatic Hydatic Cyst: An Experience at a Rural Hospital

2018 ◽  
Vol 1 (2) ◽  
pp. 59-61
Author(s):  
Robin Khapung ◽  
N. Mahaset
Keyword(s):  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Rural Areas ◽  
Anaphylactic Shock ◽  
Perioperative Period ◽  
Domestic Animals ◽  
Sudden Onset ◽  
The World ◽  
Anaphylactoid Reactions ◽  
Hydatic Cyst

Hydatid disease is mainly caused by infection with the larval stage of the dog tapeworm Echinococcus granulosus. Infestation by hydatid disease in humans most commonly occurs in the liver (55- 70%) followed by the lung (18- 35%); the two organs can be affected simultaneously in about 5-13% of cases. Hydatid disease is endemic in many parts of the world, including India, Africa, South America, New Zealand, Australia, Turkey and Southern Europe. Hydatid disease is more prevalent in rural areas where there is a closer contact between people and dogs and various domestic animals which act as intermediate vectors. Hydatid disease remains frequent in JUMLA. In Karnali Academy of Health sciences 26 surgeries for hydatid cyst was done between 2016-2018. Hydatid cyst of liver in a child is a challenge to anesthesiologist in a remote city such as Jumla. Anaphylactic and anaphylactoid reactions during anesthesia are a major cause of concern for anesthesiologists. During the perioperative period, any symptomatology relating to sudden onset hemodynamic collapse or increased airway pressures during certain surgical procedures should raise suspicion of anaphylaxis. We report a case of intraoperative sudden anaphylaxis and its management.

Is fear of anaphylactic shock discouraging surgeons from more widely adopting percutaneous and laparoscopic techniques in the treatment of liver hydatid cyst?

2004 ◽  
Vol 187 (4) ◽  
pp. 533-537 ◽  
Author(s):  
Rami Yaghan ◽  
Hussein Heis ◽  
Kamal Bani-Hani ◽  
Ismail Matalka ◽  
Nawaf Shatanawi ◽  
...  
Keyword(s):  
Hydatid Cyst ◽  
Anaphylactic Shock ◽  
Liver Hydatid Cyst ◽  
Laparoscopic Techniques

scholarly journals Hydatid Cysts of the Liver Rupture into the Peritoneal Cavity: Fifteen Cases and Review of the Literature

2021 ◽  
Author(s):  
Atef MEJRI ◽  
Khaoula ARFAOUI ◽  
Sarra SAAD ◽  
Jasser RCHIDI ◽  
Ahmed OMRI ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Hydatid Cyst ◽  
Peritoneal Cavity ◽  
Anaphylactic Shock ◽  
Acute Abdominal Pain ◽  
Abdominal Cavity ◽  
Liver Hydatid Cyst ◽  
The Mean ◽  
Hydatid Cyst Rupture ◽  
Cyst Rupture

Abstract BackgroundHydatid cyst is a parasitic infection caused mainly by E. Granulosus, which is generally considered benign. However, the hepatic Hydatid Cyst rupture in the abdominal cavity is a life-threatening incident that requires urgent and multidisciplinary management (emergency physician, radiologists, anesthetists, and surgeons). This study describes clinical and paraclinical liver hydatid cyst rupture in the peritoneal cavity and details the appropriate treatment.Materials and MethodsFifteen liver hydatid cyst cases ruptured into the abdominal cavity that underwent urgent surgery were collected over eight years. Results There were nine men and six women. Patients' age ranged from 14 to 59 years, with an age average of 38 years. Two patients were admitted with abdominal trauma, and acute abdominal pain was the common consultation's reason. Only one patient had an anaphylactic shock. Both abdominal ultrasound and CT scan showed discontinuous cyst wall and intraperitoneal fluid in 100% of cases. Intraoperatively, the intraperitoneal effusion was clear in thirteen cases and purulent in two. All patients underwent unroofing procedure associated with intra-operative peritoneal lavage and external drainage. The mean hospital stay was 6.11 days, and the mean follow-up was 19 months. No case of recurrence was reported among the patients.ConclusionRupture of a hydatid cyst in the abdominal cavity should be evoked in front of acute abdominal pain, especially in endemic areas, and in the presence of an allergic reaction or anaphylactic shock signs. Combined surgical and medical care starting in the emergency room is the only guarantee of a good outcome.

scholarly journals Morphological Characteristics, Classifications and Difficulties in the Use of Diagnostic Criteria for Serrated Lesions of the Large Intestine

2021 ◽  
Author(s):  
Cesar de Souza Bastos Junior ◽  
Vera Lucia Nunes Pannain ◽  
Adriana Caroli-Bottino
Keyword(s):  
Diagnostic Criteria ◽  
Morphological Characteristics ◽  
World Health ◽  
Diagnostic Tools ◽  
Serrated Adenoma ◽  
The Past ◽  
The World ◽  
Serrated Lesions ◽  
Health Organization

Abstract Introduction Colorectal carcinoma (CRC) is the most common gastrointestinal neoplasm in the world, accounting for 15% of cancer-related deaths. This condition is related to different molecular pathways, among them the recently described serrated pathway, whose characteristic entities, serrated lesions, have undergone important changes in their names and diagnostic criteria in the past thirty years. The multiplicity of denominations and criteria over the last years may be responsible for the low interobserver concordance (IOC) described in the literature. Objectives The present study aims to describe the evolution in classification of serrated lesions, based on the last three publications of the World Health Organization (WHO) and the reproducibility of these criteria by pathologists, based on the evaluation of the IOC. Methods A search was conducted in the PubMed, ResearchGate and Portal Capes databases, with the following terms: sessile serrated lesion; serrated lesions; serrated adenoma; interobserver concordance; and reproducibility. Articles published since 1990 were researched. Results and Discussion The classification of serrated lesions in the past thirty years showed different denominations and diagnostic criteria. The reproducibility and IOC of these criteria in the literature, based on the kappa coefficient, varied in most studies, from very poor to moderate. Conclusions Interobserver concordance and the reproducibility of microscopic criteria may represent a limitation for the diagnosis and appropriate management of these lesions. It is necessary to investigate diagnostic tools to improve the performance of the pathologist's evaluation, for better concordance, and, consequently, adequate diagnosis and treatment.

scholarly journals Anaphylactic shock due to ruptured pulmonary hydatid cyst in a young patient from Iran

2021 ◽  
pp. 102675
Author(s):  
Zakaria Zakariaei ◽  
Mahdi Fakhar ◽  
Ali Sharifpour ◽  
Elham Sadat Banimostafavi ◽  
Mostafa Soleymani ◽  
...  
Keyword(s):  
Hydatid Cyst ◽  
Young Patient ◽  
Anaphylactic Shock ◽  
Pulmonary Hydatid Cyst

Huge retrovesical hydatid cyst with pelvic localization as the primary site: a case report

2007 ◽  
Vol 48 (8) ◽  
pp. 918-920 ◽  
Author(s):  
A. M. Halefoglu ◽  
A. Yasar
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Case Report ◽  
Hydatid Cyst ◽  
Cystic Mass ◽  
Primary Site ◽  
Cystic Disease ◽  
The World ◽  
Indirect Hemagglutination ◽  
Indirect Hemagglutination Test

We present a patient with symptoms of abdominal pain and frequent urination due to a huge mass in the retrovesical region. All imaging modalities revealed a cystic mass containing small daughter cysts located between the urinary bladder and rectum. Its characteristics led us to suspect the presence of a hydatid cyst, and an indirect hemagglutination test for Echinococcus granulosus was found positive. No other involvement of hydatid cystic disease was detected. The primary site for the hydatid disease was therefore regarded as the pelvis, on which only a few cases have been reported previously. The patient started albendazole therapy, but refused operation. Hydatid cyst should always be considered in the differential diagnosis of abdominopelvic masses in endemic regions of the world.

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