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Severe anaphylactic choc revealing vascular rupture of a liver hydatid cyst observed in an emergency unit in Tunis (Tunisia)

Authors
  • Daldoul, S.1
  • 1 Surgical Unit A Charles-Nicolle’s Hospital, Boulevard 9-avril-1938, Tunis, 1006, Tunisia , Tunis (Tunisia)
Type
Published Article
Journal
Bulletin de la Société de pathologie exotique
Publisher
Lavoisier
Publication Date
Aug 26, 2014
Volume
107
Issue
5
Pages
302–305
Identifiers
DOI: 10.1007/s13149-014-0384-3
Source
Springer Nature
Keywords
License
Yellow

Abstract

Anaphylactic shock is an exceptional mode of revelation of a liver hydatid cyst and it is in almost all cases secondary to an intraperitoneal rupture. The spread of hydatid cyst content into the bloodstream is even more exceptional. We report the case of a 36 years-an old woman who presented a severe anaphylactic shock preceded by abdominal pain. Abdominal CT showed a liver hydatid cyst with a vascular communication. Operative findings confirmed the imaging data. The spread of hydatid cyst content into the bloodstream poses a double challenge as regards the management of the anaphylactic shock, and for the perioperative precautions.

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