Liver Hydatid Cyst Rupture Into the Peritoneal Cavity After Abdominal Trauma: Case Report and Literature Review

Abstract The aim of this study was to review the literature regarding the rupture of hydatid cysts into the abdominal cavity after trauma. We present both a new case of hydatid cyst rupture that occurred after blunt abdominal trauma and a literature review of studies published in the English language about hydatid cyst rupture after trauma; studies were accessed from PubMed, Google Scholar, EBSCO, EMBASE, and MEDLINE databases. We identified 22 articles published between 2000 and 2011 about hydatid cyst rupture after trauma. Of these, 5 articles were excluded because of insufficient data, duplication, or absence of intra-abdominal dissemination. The other 17 studies included 68 patients (38 males and 30 females) aged 8 to 76 years who had a ruptured hydatid cyst detected after trauma. The most common trauma included traffic accidents and falls. Despite optimal surgical and antihelmintic therapy, 7 patients developed recurrence. Complications included biliary fistula in 5 patients, incisional hernia in 2 patients, and gastrocutaneous fistula in 1 patient. Death occurred from intraoperative anaphylactic shock in 1 patient and gastrointestinal bleeding and pulmonary failure in 1 patient. Rupture of a hydatid cyst into the peritoneal cavity is rare and challenging for the surgeon. This condition is included in the differential diagnosis of the acute abdomen in endemic areas, especially in young patients.

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

10.21203/rs.3.rs-165286/v1 ◽

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.

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Spontaneous giant splenic hydatid cyst rupture causing fatal anaphylactic shock: A case report and brief literature review

The Turkish Journal of Gastroenterology ◽

10.5152/tjg.2014.3521 ◽

2014 ◽

Vol 25 (1) ◽

pp. 88-91 ◽

Cited By ~ 8

Author(s):

Sedat Belli ◽

Sami Akbulut ◽

Gurcan Erbay ◽

Nazim Emrah Kocer

Keyword(s):

Case Report ◽

Literature Review ◽

Hydatid Cyst ◽

Anaphylactic Shock ◽

Hydatid Cyst Rupture ◽

Cyst Rupture ◽

Splenic Hydatid Cyst

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A rare reason for acute abdomen: Intraperitoneal liver hydatid cyst rupture

Digestive and Liver Disease ◽

10.1016/j.dld.2015.10.009 ◽

2016 ◽

Vol 48 (1) ◽

pp. 98-100 ◽

Cited By ~ 2

Author(s):

Zubeyir Bozdag ◽

Ahmet Turkoglu ◽

Edip Erdal Yilmaz ◽

Mesut Gul

Keyword(s):

Hydatid Cyst ◽

Acute Abdomen ◽

Liver Hydatid Cyst ◽

Hydatid Cyst Rupture ◽

Cyst Rupture

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Primer intraperitoneyal pelvik kist hidatik rüptürü: Olgu sunumu / Primary intraperitoneal pelvic hydatid cyst rupture: case report

Bakirkoy Tip Dergisi / Medical Journal of Bakirkoy ◽

10.5350/btdmjb201107108 ◽

2011 ◽

pp. 35-38

Author(s):

Aziz Sümer ◽

Kasım Çağlayan ◽

Atilla Çelik ◽

Ediz Altınlı ◽

Neşet Köksal

Keyword(s):

Case Report ◽

Hydatid Cyst ◽

Hydatid Cyst Rupture ◽

Cyst Rupture

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CT diagnosis of primary mediastinal hydatid cyst rupture into the aorta: A case report

CardioVascular and Interventional Radiology ◽

10.1007/bf02577040 ◽

1988 ◽

Vol 11 (5) ◽

pp. 296-299 ◽

Cited By ~ 17

Author(s):

Luis Marti-Bonmati ◽

Ricardo Touza ◽

Hortensia Montes

Keyword(s):

Case Report ◽

Hydatid Cyst ◽

Ct Diagnosis ◽

Hydatid Cyst Rupture ◽

Cyst Rupture

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Cardiac Hydatid Cyst Rupture and Embolization Causing Lower Limb Ischemia and Multiple Infarcts: A Case Report

American Journal of Cardiovascular and Thoracic Surgery ◽

10.15226/2573-864x/2/5/00129 ◽

2017 ◽

Vol 2 (5) ◽

pp. 1-5

Author(s):

Malik Azhar Hussain ◽

Ramadan Alatawneh ◽

Muhammad Omer Afzal Bhatti ◽

Mohammad Akram Randhawa ◽

Adnan Anwar ◽

...

Keyword(s):

Case Report ◽

Hydatid Cyst ◽

Lower Limb ◽

Limb Ischemia ◽

Lower Limb Ischemia ◽

Hydatid Cyst Rupture ◽

Cyst Rupture

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

10.21203/rs.3.rs-151634/v1 ◽

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.

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