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

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.

2015 ◽  
Vol 22 (2) ◽  
pp. 216-218 ◽  
Author(s):  
Asifa Sattar ◽  
Nazmun Nahar ◽  
Md Mizanur Rahman ◽  
ASM Tanim Anwar ◽  
Anwar Hossain

Hydatid disease is a parasitic disease, which is most commonly caused by Echinococcus granulosus. It is endemic in many parts of the world. However, Hydatid disease can occur in almost any part of the body. Isolated omenal hydatid cyst is one of the least common sites. A case of very unusual omental hydatid cyst is presented here which was diagnosed in the Department of Radiology & Imaging, Dhaka Medical College Hospital, Dhaka, and subsequently confirmed by histopathology. DOI: http://dx.doi.org/10.3329/jdmc.v22i2.21546 J Dhaka Medical College, Vol. 22, No.2, October, 2013, Page 216-218


2020 ◽  
Vol 7 (7) ◽  
pp. 2141
Author(s):  
Atul Mishra ◽  
Kalpesh Patel

Background: Hydatid disease or hydatidosis is a zoonosis which is still an important health hazard in the world. This disease is a parasitic infestation which is endemic in many sheep and cattle raising areas of the world including India. The aim of this study was to evaluate the clinical features, diagnosis, and treatment of hydatid cyst in pediatric population.Methods: This prospective study evaluated 32 pediatric patients with hydatid cyst who were treated at Geetanjali Hospital, Udaipur from 2016-2018. Medical records of these patients were studied and analyzed.Results: 32 cases were in the age group of 7 to 14 years and were from rural background/ farming community and of low socioeconomic status. Male children, lungs were predominantly involved. Cattle rearing were common to the households of all patients. Ultrasonography and computed tomography scan were done in all patients and was the main diagnostic modality. All cases were managed surgically along with albendazole therapy and had complete recovery with no recurrence till date in any of our patients.Conclusions: Hydatid disease is not rare in the pediatric age group. The liver and lung are commonly involved, but it may also present as primary disease in unusual sites like the spleen and brain. Careful surgery to avoid spillage with full course of drug therapy with albendazole can ensure permanent cure. A 28 day post-operative course was sufficient in majority of the cases. The disease can be prevented by proper community based measures like availability of clean water, sanitation and drug prophylaxis.


2016 ◽  
Vol 26 (4) ◽  
pp. 392-393 ◽  
Author(s):  
Kerem Tolan ◽  
Cuneyt Kayaalp ◽  
Mukadder Ispir ◽  
Serdar Kirmizi ◽  
Sezai Yilmaz

In March 2008, a 19-year-old woman required emergency liver transplantation due to acute-on-chronic liver failure. No living donor candidate was available. A marginal deceased liver that had been rejected by all the other centers was offered. The liver belonged to a 93-year-old woman and contained a hydatid cyst. Because of low donation rates in our country, we chose to accept the 93-year-old liver. The postoperative early and late courses were fortunately uneventful. Five years after transplantation, the woman became pregnant and gave birth to a healthy female baby. Today, the ages of the baby, mother, and the transplanted liver are 1, 26, and 100 years, respectively. A nonagenarian liver with hydatid disease was able to sustain its viability in a younger woman after transplant and also helped her bring in a new life into the world.


2014 ◽  
Vol 18 (1) ◽  
Author(s):  
Nausheen Khan ◽  
Irma Vandewerke

‘Hydatid’ originates from the Greek word meaning ‘watery vesicle’. It refers to a cyst formed as a result of infestation by larvae of the tapeworm Echinococcus granulosus, endemic to sheep-raising areas of the world. Humans are an accidental intermediary host, with lungs and liver most commonly affected. Hydatid involvement of the spine accounts for less than 1% of the total cases of hydatid disease and isolated extradural involvement is even rarer. We report a case of extradural hydatid cyst involving a boy of 5 years.


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.


2014 ◽  
Vol 31 (3) ◽  
pp. 156-158
Author(s):  
A Kutub ◽  
MM Rahman ◽  
S Hena

Human hydatid cyst is an illness caused by the cystic phase of the small trepanoma, Echinococcus granulosus. It is an endemic disease in some countries of the world. Hydatid disease though known to occur in almost all organs of the body, it is extremely rare in the female reproductive organs. In this report we present a case of hydatid disease of both ovaries with widespread intraabdominal hydatid cysts. This case was misdiagnosed as an ovarian cyst until the time of operation. DOI: http://dx.doi.org/10.3329/jbcps.v31i3.20983 J Bangladesh Coll Phys Surg 2013; 31: 156-158


2021 ◽  
Vol 07 (04) ◽  
pp. e347-e350
Author(s):  
Charif Khaled ◽  
Antoine Kachi

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.


2022 ◽  
pp. 1-4
Author(s):  
Redha Lakehal ◽  
Soumaya Bendjaballah ◽  
Rabah Daoud ◽  
Khaled Khacha ◽  
Baya Aziza ◽  
...  

Introduction: Cardiac localization of hydatid disease is rare (<3%) even in endemic countries. Affection characterized by a long functional tolerance and a large clinical and paraclinical polymorphism. Serious cardiac hydatitosis because of the risk of rupture requiring urgent surgery. The diagnosis is based on serology and echocardiography. The aim of this work is to show one of the fatal complications of this condition which arose intraoperatively during anesthetic induction. Methods: We report the observation of a 37-year-old woman operated on in 2010 for a cardiac hydatid cyst presenting a recurrence of cardiac hydatid disease with two left intraauricular cysts expressed by palpitations with dyspnea. Preoperatively: dyspnea stage II of the NYHA. Chest x-ray: CTI at 0.58. ECG: RSR. Echocardiography: Two largest left atrial cysts: 47/40 mm compress the origin of the right pulmonary vein, 2nd cyst of 36/28 mm. The existence of another small caliber lateral cyst. Positive hydatid serology. The patient developed an anaphylactic shock of unexplained cause, which required the assistive CPB facility. Intraoperative exploration: The two ruptured cysts in the left atrium with multiple left intraatrial daughter vesicles. Gesture: Removal of daughter vesicles with sterilization with hypertonic saline. Results: The postoperative consequences were favorable despite a prolonged stay in intensive care following a picture of acute respiratory distress syndrome. Conclusion: Intracardiac rupture is a very serious complication and can produce dramatic pictures with sudden death. It can be responsible for allergic reaction, systemic embolism, pulmonary embolism and systemic metastases. Keywords: Hydatid Cyst; Heart; Relapsing; Rupture; Surgery; Anaphylactic Shock; Cardiopulmonary Bypass; Prevention


2017 ◽  
Vol 2 (11) ◽  
pp. 73-78
Author(s):  
David W. Rule ◽  
Lisa N. Kelchner

Telepractice technology allows greater access to speech-language pathology services around the world. These technologies extend beyond evaluation and treatment and are shown to be used effectively in clinical supervision including graduate students and clinical fellows. In fact, a clinical fellow from the United States completed the entire supervised clinical fellowship (CF) year internationally at a rural East African hospital, meeting all requirements for state and national certification by employing telesupervision technology. Thus, telesupervision has the potential to be successfully implemented to address a range of needs including supervisory shortages, health disparities worldwide, and access to services in rural areas where speech-language pathology services are not readily available. The telesupervision experience, potential advantages, implications, and possible limitations are discussed. A brief guide for clinical fellows pursuing telesupervision is also provided.


Author(s):  
Yu. Kozlov ◽  
R. Serebryakov

A new coronavirus pandemic is raging all over the world, especially in densely populated areas. Unlike most countries, more than half of the territory of Russia is not used by humans — which means that it is possible to settle large cities to avoid crowding people on a small area. The authors of the article consider wind power, namely vortex wind power plants, as a new source of energy that can be quickly and with less harm built in rural areas. The article also discusses the possibilities of an alternative Autonomous non-volatile installation "Air spring" for obtaining fresh water from atmospheric air.


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