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Case Reports
. 2021 Apr:81:105660.
doi: 10.1016/j.ijscr.2021.105660. Epub 2021 Mar 3.

Anaphylactic shock due to traumatic rupture of pulmonary hydatid cyst: Case report

Aabdi Mohammed  1 , Khalil Malki  2 , Yassine Mellagui  3 , Houssam Bkiyar  4 , Brahim Housni  5
Affiliations
Case Reports

Anaphylactic shock due to traumatic rupture of pulmonary hydatid cyst: Case report

Aabdi Mohammed et al. Int J Surg Case Rep. 2021 Apr.

Abstract

Introduction: Hydatid cyst is an infectious disease caused by « ECHINOCOCCUS GRANULOSIS », it can be asymptomatic or manifests depending on size, location, and relation with other organs, or by complication like rupture. This latter might occur spontaneously or post-traumatic, and it might manifest with an anaphylactic shock, a life-threatening situation.

Importance: Anaphylactic shock is a rare cause of traumatic shock state.

Case presentation: A 30 years old man with no medical history was admitted to the emergency room after a car accident, on his admission, his Glasgow coma scale was 10/15 with a blood pressure of 80/30 mmHg, he was intubated and stabilized hemodynamically. The full-body CT scan showed no abnormalities except on the thoracic level where it showed a well-limited rounded formation with regular contours containing hydro-aeric level related to ruptured hydatid cyst. After ruling out the diagnosis of hemorrhagic, hypovolemic shock, the diagnosis of anaphylactic shock due to a post-traumatic rupture of the hydatid cyst was maintained.

Conclusion: Post-traumatic rupture of the hydatid cyst is a rare emergency that requires early diagnosis and management. Surgery remains the principal treatment of ruptured hydatid cyst. Anaphylactic shock is a life-threatening situation with various symptoms; epinephrine is the cornerstone for management of this type of shock.

Keywords: Anaphylactic shock; Hydatid cyst; Rupture; Traumatic.

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Figures

Fig. 1
Fig. 1
CT SCAN showing well limited rounded formation of regular contours containing a hydro-aeric level related to a ruptured hydatid cyst.
Fig. 2
Fig. 2
Ruptured specimen of hydadit cyst of lung.
See this image and copyright information in PMC

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