Spontaneous Rupture of a Hepatic Hydatid Cyst with Anaphylaxis: A Case Report

Abstract

The most common disease is seen in the right lobe of the liver. Most patients have one cyst (70%), but some have multiple cysts (20%-40%). The diameter of cysts varies from few centimeters to as large as 20-30 cm. Rupture rate is commonly reported as approximately 20% and is associated with young age, superficial localization, trauma, and large cyst size. Complications vary from abdominal pain to death according to anaphylaxis, including biliary relation, cholangitis, portal hypertension, ascites, and abscess. The anaphylaxis rate has been reported as 10% in all ruptured cases in one series (4, 5).The present case describes a 25-year-old Turkish woman presenting with abdominal pain and evidence of anaphylaxis, which is uncommon in our daily surgical practice.

Traumatic rupture of liver hydatid cysts into the peritoneal cavity of an 11-year-old boy: a case report from Iran

“…Hydatid cyst (HC) disease, a zoonotic parasitic infection, occurs during the larval stage of a cestode named Echinococcus granulosus (E. granulosus) 1 . The disease is endemic and hyper-endemic in pastoral regions of the world 2,3 . Although HC may develop in any organ, it generally occurs in the liver (50-75%) and lungs (18-30%), and is characterized by a cystic form of lesions 4 .…”

“…Hydatid cysts (HCs) develop slowly, making the viscera, and especially the abdominal cavity, highly susceptible to traumatic ruptures. Complications of HC ruptures vary from constant abdominal symptoms (abdominal pain, tenderness, and vomiting) to peritonitis and shock with allergy symptoms (cutaneous rash, urticaria, and anaphylactic shock) 2,5 . While there have been a few reports of HC ruptures after trauma in adults in Iran 5 , to date, no reports have been published describing this condition in children.…”