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CC BY 4.0 · Surg J (N Y) 2021; 07(04): e347-e350
DOI: 10.1055/s-0041-1740624
Case Report

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

Charif Khaled 
1   Department of General Surgery, Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon
,
Antoine Kachi
1   Department of General Surgery, Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon
2   Department of General Surgery, University Medical Center, Lebanese Hospital Geitaoui, Beirut, Lebanon
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Abstract

Hydatid 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.

Keywords

hydatid disease - hydatid cyst - hydatid cyst rupture - anaphylactic shock


Publication History

Received: 25 May 2020

Accepted: 04 October 2021

Article published online:
23 December 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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