scholarly journals Spontaneous Intraperitoneal Rupture of a Hepatic Hydatid Cyst with Subsequent Anaphylaxis: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Benjamin Tinsley ◽  
Aula Abbara ◽  
Raghunandan Kadaba ◽  
Hemant Sheth ◽  
Gurjinder Sandhu

Hydatid cyst rupture into the abdomen is a serious complication of cystic hydatid disease of the liver (Cystic Echinococcosis) with an incidence of up to 16% in some series and can result in anaphylaxis or anaphylactoid reactions in up to 12.5% of cases. At presentation, 36–40% of hydatid cysts have ruptured or become secondarily infected. Rupture can be microscopic or macroscopic and can be fatal without surgery. Hydatid disease of the liver is primarily caused by the tapewormEchinococcus granulosusand occurs worldwide, with incidence of up to 200 per 100,000 in endemic areas. Our case describes a 24-year-old Bulgarian woman presenting with epigastric pain and evidence of anaphylaxis. Abdominal CT demonstrated a ruptured hydatid cyst in the left lobe of the liver. A partial left lobe hepatectomy, cholecystectomy, and peritoneal washout was performed with good effect. She was treated for anaphylaxis and received antihelminthic treatment with Albendazole and Praziquantel. She made a good recovery following surgery and medical treatment and was well on follow-up. Intraperitoneal rupture with anaphylaxis is a rare occurrence, and there do not seem to be any reported cases from UK centres prior to this.

2020 ◽  
pp. 1-3
Author(s):  
Praveenkumar M. Patil ◽  
Nishtha and Navneet Kaur ◽  
Praveenkumar M. Patil

Hydatid cyst remains a global health problem. Intraperitoneal hydatid cyst rupture is a life-threatening complication because it causes serious hemodynamic instability and allergic reactions. No clearly defined guidelines exist for dealing with ruptured cysts or intraperitoneal spillage, though emergency exploration remains the standard approach. We present here a case of a 35 -year- old woman who developed spontaneous rupture of a Giant hepatic hydatid cyst. However, patient could not be taken up for emergency surgery in view of very poor chest condition. She was managed by placement of an intra peritoneal drain and lavage with hypertonic saline. Subsequently, patient underwent two surgeries for definitive treatment of the giant hydatid cyst. At one year of follow- up, patient has no evidence of any recurrent disease. Intraperitoneal drain placement and lavage with hypertonic saline may be considered an option to contain peritoneal implantations while patient is being optimised for exploration.


2020 ◽  
pp. 1-3
Author(s):  
Syed Md Sharique ◽  
Mritunjay Sarawagi ◽  
Anjay Kumar

Hydatid cyst rupture into abdomen is a serious complication in cystic hydatid disease of liver. Both microscopic or macroscopic rupture can occur and it is fatal without surgery. It is primarily caused by tapeworm (ECHINOCOCCUS GRANULOSUS) and occurs worldwide with an incidence of 200/100,000in endemic areas. This is a case of 28 yr. female presenting with sudden onset pain abdomen since 4 days. Abdominal ultrasonography demonstrates ruptured hepatic hydatid cyst with free peritoneal fluid. She was managed in emergency operation theatre due to her clinical condition and exploratory laparotomy with omentopexy and toileting were done after fluid resuscitation, antihistaminic and corticosteroid treatment. Postoperatively she received antihelminthic treatment with Albendazol. She made a good recovery following surgery.


2016 ◽  
Vol 48 (1) ◽  
pp. 98-100 ◽  
Author(s):  
Zubeyir Bozdag ◽  
Ahmet Turkoglu ◽  
Edip Erdal Yilmaz ◽  
Mesut Gul

1988 ◽  
Vol 11 (5) ◽  
pp. 296-299 ◽  
Author(s):  
Luis Marti-Bonmati ◽  
Ricardo Touza ◽  
Hortensia Montes

Author(s):  
Malik Azhar Hussain ◽  
Ramadan Alatawneh ◽  
Muhammad Omer Afzal Bhatti ◽  
Mohammad Akram Randhawa ◽  
Adnan Anwar ◽  
...  

Cureus ◽  
2021 ◽  
Author(s):  
Sadhasivam Ramasamy ◽  
Pranav M Singhal ◽  
Manu Vats ◽  
Sushanto Neogi

2015 ◽  
Vol 2 (6) ◽  
Author(s):  
Ayse Hande Arpaci ◽  
Kemalettin Acikgoz ◽  
Esma Coskun ◽  
Hakan Eke ◽  
Ismail Cagatay Topcu

2020 ◽  
Vol 77 ◽  
pp. 260-263
Author(s):  
Mersad Alimoradi ◽  
Etienne El-Helou ◽  
Hassan Sabra ◽  
Pierre Hani ◽  
Raja Wakim

2018 ◽  
Vol 1 (2) ◽  
pp. 59-61
Author(s):  
Robin Khapung ◽  
N. Mahaset

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.


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