Abstract
Anaphylactic reaction is a known complication of cystic hydatid disease, a parasitic infestation caused by the larval/cyst stage of Echinococcus granulosus that usually happens after trauma or during interventions. Nontraumatic leakage of cyst contents into the blood circulation is an uncommon triggering factor for anaphylaxis, which is rarely reported in available literatures. We describe anaphylaxis in a 47-year-old lady who was admitted for evacuation of hydatid cyst of the liver. Unfortunately, she developed signs and symptoms of anaphylaxis in the ward while waiting for her operation. However, the condition was controlled immediately, and she was taken to the operating theater for surgery. As she had not sustained any trauma in the ward and operative exploration did not reveal any macroscopic rupture, we assumed that her problem must have been caused by nontraumatic spillage of cyst material into circulation. Although the condition is not common, one should bear in mind the possibility of such diagnosis in all patients with Eccinococcous infection who develop shock especially in areas where this infestation is endemic.
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References
Abbassioun K, Amirjamshidi A. Diagnosis and management of hydatid cyst of the central nervous system. Part 1. General considerations and hydatid disease of the brain. Neurosurg Q 2001;11:1–9.
Abbassioun K, Amirjamshidi A. Diagnosis and management of hydatid cyst of the central nervous system. Part 2. Hydatid cysts of the skull, orbit and spine. Neurosurg Q 2001;11:10–16.
Kuzuzcu A, Soysal Ö, Özgel M, Yologlu S. Complicated hydatid cysts of the lung; clinical and therapeutic issues. Ann Thorac Surg 2004;77:1200–1204.
Talı ET. Cerebral hydatid cysts. Rivista Neuroradiol 1999;12:121–123.
Talı ET. Spinal infections. Eur J Radiol 2004;50:120–133.
Turgut AT, Turgut M, Kosar U. Hydatidosis of the orbit in Turkey; results from review of the literatures 1963–2001. Int Ophthalmol 2004;25:193–200.
Kervancıoğlu R, Bayram M, Elbeyli L. CT findings in pulmonary hydatid disease. Acta Radiol 1999;40:510–514.
Milicevic M. Hydatid disease. In Blumgart LH, ed. Surgery of the liver and billiary tract, 2nd ed. Edinburgh: Churchill Livingstone, 1994, pp 1121–1150.
Derici H, Tansuq T, Reyhan E, Bozdag AD, Nazli O. Acute intra-peritoneal rupture of hydatid cysts. World J Surg 2006;30:1879.
Koppen S, Wejda B, Dormann A, Seeko H, Huchzermever H, Junghanss T. Anaphylactic shock caused by rupture of an echinococcal cyst in a 25-year-old asylum seeker from Georgia. Can J Surg 1996;39:293–296.
Pedrosa I, Saiz A, Arrazola J, Ferreiros J, Pedrosa CS. Hydatid disease: radiologic and pathologic features and complications. Radiographics 2000;20:795–817.
Buyuk Y, Turan AA, Uzun I, Aybar Y, Cin O, Kurnaz G. Non-ruptured hydatid cyst can lead to death by spread of contents into blood-stream: an autopsy case. Eur J Gastroenterol Hepatol 2005;17:671–673.
Chadly A, Krimi S, Mghirbi T. Cardiac hydatid cyst rupture as cause of death. Am J Forensic Med Pathol 2004;25:262–264.
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Sanei, B., Hashemi, S.M. & Mahmoudieh, M. Anaphylactic Shock Caused by Nonruptured Hydatid Cyst of the Liver. J Gastrointest Surg 12, 2243–2245 (2008). https://doi.org/10.1007/s11605-008-0468-0
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DOI: https://doi.org/10.1007/s11605-008-0468-0