Intraoperative anaphylaxis caused by a hydatid cyst

Sola, J. L.; Vaquerizo, A.; Madariaga, María José; Opla, J M; Bondía, A

doi:10.1111/j.1399-6576.1995.tb04057.x

Cited by 22 publications

(14 citation statements)

References 4 publications

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“…However, anaphylactic reactions in CE occur not only as a side effect of PT, but also of surgical treatment [10]–[17], result of accidental trauma [18]–[20] and even spontaneously [21]–[24].…”

Section: Introductionmentioning

confidence: 99%

Justified Concern or Exaggerated Fear: The Risk of Anaphylaxis in Percutaneous Treatment of Cystic Echinococcosis—A Systematic Literature Review

et al. 2011

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Percutaneous treatment (PT) emerged in the mid-1980s as an alternative to surgery for selected cases of abdominal cystic echinococcosis (CE). Despite its efficacy and widespread use, the puncture of echinococcal cysts is still far from being universally accepted. One of the main reasons for this reluctance is the perceived risk of anaphylaxis linked to PTs. To quantify the risk of anaphylactic reactions and lethal anaphylaxis with PT, we systematically searched MEDLINE for publications on PT of CE and reviewed the PT-related complications. After including 124 publications published between 1980 and 2010, we collected a total number of 5943 PT procedures on 5517 hepatic and non-hepatic echinococcal cysts. Overall, two cases of lethal anaphylaxis and 99 reversible anaphylactic reactions were reported. Lethal anaphylaxis occurred in 0.03% of PT procedures, corresponding to 0.04% of treated cysts, while reversible allergic reactions complicated 1.7% of PTs, corresponding to 1.8% of treated echinococcal cysts. Analysis of the literature shows that lethal anaphylaxis related to percutaneous treatment of CE is an extremely rare event and is observed no more frequently than drug-related anaphylactic side effects.

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Section: Introductionmentioning

confidence: 99%

Justified Concern or Exaggerated Fear: The Risk of Anaphylaxis in Percutaneous Treatment of Cystic Echinococcosis—A Systematic Literature Review

et al. 2011

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“…The absence of ECG and postmortem findings excluded myocardial ischemia. Anaphylaxis was unlikely because of the absence of hydatidiform cysts, a known cause of anaphylaxis (11), and the absence of new medications administered in the hour preceding collapse. An embolus causing cardiovascular collapse was unlikely, because there was no hypoxemia.…”

Section: Discussionmentioning

confidence: 99%

Postoperative Death in a Patient with Unrecognized Arrhythmogenic Right Ventricular Dysplasia Syndrome

Toh

Nadesan²,

Sie³

et al. 2004

Anesthesia & Analgesia

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Arrhythmogenic right ventricular dysplasia is an inherited disease causing fatty replacement of heart tissue. This disease often presents as T-wave inversion in the anterior leads of the electrocardiogram (ECG) with life-threatening ventricular arrhythmias. In older patients, progressive right and left ventricular failure can develop. This is a case report of postoperative death occurring in a 59-yr-old woman with undiagnosed arrhythmogenic right ventricular dysplasia after hepatic cystectomy. The patient had T-wave inversion in the inferior ECG leads and no history of arrhythmias. During general anesthesia, cardiovascular collapse occurred in the absence of arrhythmias that was unresponsive to resuscitation.

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“…In addition, inhalation anesthetics should be stopped, 100% oxygen administered and the intravascular volume replenished with colloid or crystalloid. Anti H 1 and H 2 drugs may be given prophylactically 6 . There have also been reports of the use of vasopressors with alpha and beta stimulating properties 7,8 .…”

Section: Discussionmentioning

confidence: 99%