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Hepatic hydatid cyst rupture and anaphylaxis after a fall
Muzaffer Elmali1, Meltem Ceyhan, Mehtap Ilgar
1Department of Radiology, Ondokuz, Mayis University Faculty of Medicine, Samsun, Turkey. muzafel@yahoo.com.tr
Indian Journal of Pediatrics
|February 12, 2009
Summary
A ruptured liver hydatid cyst in a teenager caused severe symptoms. Prompt medical treatment and monitoring were crucial for recovery without complications.
Area of Science:
- Pediatric Surgery
- Infectious Diseases
- Hepatology
Background:
- Hydatid cysts, caused by Echinococcus granulosus, are parasitic infections.
- Rupture of hepatic hydatid cysts can lead to anaphylaxis and dissemination.
Observation:
- A 15-year-old male presented with dyspnea, urticaria, and vomiting after trauma.
- Abdominal ultrasound revealed a ruptured, communicating hydatid cyst in the right liver lobe.
Findings:
- Echinococcus granulosus serology was positive.
- Medical management was initiated, with follow-up ultrasound showing no changes or fluid leakage.
- The patient improved clinically and was discharged.
Implications:
- This case highlights the importance of prompt diagnosis and management of ruptured hepatic hydatid cysts in adolescents.
- Conservative medical treatment can be effective in managing such cases.
- Early intervention prevents complications like anaphylaxis and secondary infection.
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