Acute rupture of a huge liver hydatid cysts in the peritoneal cavity causing an anaphylactic shock: A case report
The rupture of hepatic hydatid cysts into the peritoneal cavity is an uncommon but life-threatening condition that can result in complications such as peritonitis and anaphylactic shock. This report describes the case of a 39-year-old diabetic male who presented with acute epigastric pain, fever (39...
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Elsevier
2025-05-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043325000962 |
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| author | Mohamed Zayati Mohamed Ali Chaouch Salem Mokni Mohamed Maaref Mehdi Abdelwahed Hafeth Daly Asma Ladib Fethi Jebali Aymen Kawech |
| author_facet | Mohamed Zayati Mohamed Ali Chaouch Salem Mokni Mohamed Maaref Mehdi Abdelwahed Hafeth Daly Asma Ladib Fethi Jebali Aymen Kawech |
| author_sort | Mohamed Zayati |
| collection | DOAJ |
| description | The rupture of hepatic hydatid cysts into the peritoneal cavity is an uncommon but life-threatening condition that can result in complications such as peritonitis and anaphylactic shock. This report describes the case of a 39-year-old diabetic male who presented with acute epigastric pain, fever (39°C), and abdominal rigidity. Imaging studies revealed pneumoperitoneum and the rupture of a large hepatic hydatid cyst measuring 20 × 30 cm located in the right lobe of the liver. Emergency laparotomy confirmed the rupture, and surgical management involved peritoneal lavage and initiation of antiparasitic therapy. The patient recovered fully and was discharged 23 days after surgery. Rupture of hepatic hydatid cysts occurs in only 1%-2% of cases and is often associated with large cyst size (>10 cm) and superficial location. Early imaging, particularly with CT, is crucial for diagnosis, while surgical intervention aims to manage the rupture, prevent further complications, and address residual cysts. This case highlights the significance of prompt diagnosis and management to avoid severe outcomes such as secondary peritoneal hydatidosis and anaphylactic shock. |
| format | Article |
| id | doaj-art-bf78d957c39e4d78a6867c8409353fbc |
| institution | DOAJ |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-bf78d957c39e4d78a6867c8409353fbc2025-08-20T03:06:00ZengElsevierRadiology Case Reports1930-04332025-05-012052428243110.1016/j.radcr.2025.01.098Acute rupture of a huge liver hydatid cysts in the peritoneal cavity causing an anaphylactic shock: A case reportMohamed Zayati0Mohamed Ali Chaouch1Salem Mokni2Mohamed Maaref3Mehdi Abdelwahed4Hafeth Daly5Asma Ladib6Fethi Jebali7Aymen Kawech8Department of Surgery, Monastir University Hospital, Monastir, TunisiaDepartment of Surgery, Monastir University Hospital, Monastir, Tunisia; Corresponding author.Department of Surgery, Monastir University Hospital, Monastir, TunisiaDepartment of Surgery, Monastir University Hospital, Monastir, TunisiaDepartment of Gastroenterology, Monastir University Hospital, Monastir, TunisiaDepartment of Cardiovascular Surgery, Monastir University Hospital, Monastir, TunisiaDepartment of Anesthesiology B, Monastir University Hospital, Monastir, TunisiaDepartment of Anesthesiology B, Monastir University Hospital, Monastir, TunisiaDepartment of Surgery, Sidi Bouzid Hospital, Sidi Bouzid, TunisiaThe rupture of hepatic hydatid cysts into the peritoneal cavity is an uncommon but life-threatening condition that can result in complications such as peritonitis and anaphylactic shock. This report describes the case of a 39-year-old diabetic male who presented with acute epigastric pain, fever (39°C), and abdominal rigidity. Imaging studies revealed pneumoperitoneum and the rupture of a large hepatic hydatid cyst measuring 20 × 30 cm located in the right lobe of the liver. Emergency laparotomy confirmed the rupture, and surgical management involved peritoneal lavage and initiation of antiparasitic therapy. The patient recovered fully and was discharged 23 days after surgery. Rupture of hepatic hydatid cysts occurs in only 1%-2% of cases and is often associated with large cyst size (>10 cm) and superficial location. Early imaging, particularly with CT, is crucial for diagnosis, while surgical intervention aims to manage the rupture, prevent further complications, and address residual cysts. This case highlights the significance of prompt diagnosis and management to avoid severe outcomes such as secondary peritoneal hydatidosis and anaphylactic shock.http://www.sciencedirect.com/science/article/pii/S1930043325000962Hydatid cystPeritoneal ruptureAnaphylactic shockPeritonitisEchinococcus granulosusCase report |
| spellingShingle | Mohamed Zayati Mohamed Ali Chaouch Salem Mokni Mohamed Maaref Mehdi Abdelwahed Hafeth Daly Asma Ladib Fethi Jebali Aymen Kawech Acute rupture of a huge liver hydatid cysts in the peritoneal cavity causing an anaphylactic shock: A case report Radiology Case Reports Hydatid cyst Peritoneal rupture Anaphylactic shock Peritonitis Echinococcus granulosus Case report |
| title | Acute rupture of a huge liver hydatid cysts in the peritoneal cavity causing an anaphylactic shock: A case report |
| title_full | Acute rupture of a huge liver hydatid cysts in the peritoneal cavity causing an anaphylactic shock: A case report |
| title_fullStr | Acute rupture of a huge liver hydatid cysts in the peritoneal cavity causing an anaphylactic shock: A case report |
| title_full_unstemmed | Acute rupture of a huge liver hydatid cysts in the peritoneal cavity causing an anaphylactic shock: A case report |
| title_short | Acute rupture of a huge liver hydatid cysts in the peritoneal cavity causing an anaphylactic shock: A case report |
| title_sort | acute rupture of a huge liver hydatid cysts in the peritoneal cavity causing an anaphylactic shock a case report |
| topic | Hydatid cyst Peritoneal rupture Anaphylactic shock Peritonitis Echinococcus granulosus Case report |
| url | http://www.sciencedirect.com/science/article/pii/S1930043325000962 |
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