1887
Volume 2025, Issue 3
  • ISSN: 1999-7086
  • EISSN: 1999-7094

Abstract

Anaphylaxis is a severe, life-threatening reaction that usually occurs after exposure to an allergen. This case report describes a 29-year-old man who presented with anaphylaxis due to an unruptured hydatid cyst. Hydatid disease, caused by the parasitic tapeworm , usually manifests as cystic lesions in organs such as the liver and lungs. In this case, the patient exhibited sudden-onset anaphylaxis without any trauma or known allergen. Diagnostic imaging revealed an intact hydatid cyst without evidence of rupture. Despite intact walls, elevated intracystic pressure can lead to leakage of antigen-rich fluid into the bloodstream, triggering the reaction. This case presents a challenging diagnosis of a nontraumatic hydatid cyst leak, emphasizing the importance of early recognition and effective management of such cases, especially in endemic areas, to prevent potential morbidity and mortality. It underlines the need for increased clinical suspicion of hydatid disease in patients with unexplained anaphylaxis, even when the cyst wall appears intact on imaging.

© 2025 Ahmed, Mehmood, Elhassan, Najam, Iftikhar et al., licensee HBKU Press.
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2025-09-02
2025-12-05

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References

  1. Pakala T, Molina M, Wu GY. Hepatic echinococcal cysts: a review. J Clin Transl Hepatol. 2016 Mar 17; 4:(1):39–46. https://doi.org/10.14218/JCTH.2015.00036
     [Google Scholar]
  2. Sabzevari S, Badirzadeh A, Shahkaram R, Seyyedin M. Traumatic rupture of liver hydatid cysts into the peritoneal cavity of an 11-year-old boy: a case report from Iran. Rev Soc Bras Med Trop. 2017 Dec 1; 50:(6):864–7. https://doi.org/10.1590/0037-8682-0292-2017
     [Google Scholar]
  3. Ozturk G, Aydinli B, Yildirgan MI, Basoglu M, Atamanalp SS, Polat KY, et al. Posttraumatic free intraperitoneal rupture of liver cystic echinococcosis: a case series and review of literature. Am J Surg. 2007 Sept; 194:(3):313–6. https://doi.org/10.1016/j.amjsurg.2006.11.014
     [Google Scholar]
  4. Khanna P, Garg R, Pawar D. Intraoperative anaphylaxis caused by a hepatic hydatid cyst. Singapore Med J. 2011; 52:(2):e18. https://smj.sma.org.sg/5202/5202cr1.pdf[Accessed 10 March 2025].
     [Google Scholar]
  5. Sanei B, Hashemi SM, Mahmoudieh M. Anaphylactic shock caused by nonruptured hydatid cyst of the liver. J Gastrointest Surg. 2008 Jan 23; 12:(12):2243–5. https://doi.org/10.1007/s11605-008-0468-0
     [Google Scholar]
  6. Kiraç CO, Uçar R, Arslan S, Tasçi HI, Çaliskane AZ. Recurrent anaphylaxis: an unruptured splenic hydatid cyst as an unusual cause. Asthma Allergy Immunol. 2016 Aug 25; 14:103–6. https://doi.org/10.21911/aai.6009
     [Google Scholar]
  7. Tinsley B, Abbara A, Kadaba R, Sheth H, Sandhu G. Spontaneous intraperitoneal rupture of a hepatic hydatid cyst with subsequent anaphylaxis: a case report. Case Reports Hepatol. 2013; 2013:320418. https://doi.org/10.1155/2013/320418
     [Google Scholar]
  8. Goyal S, Goyal S, Sangwan S, Sachar S. Uncommon locations and presentations of hydatid cyst. Ann Med Health Sci Res. 2014 May; 4:(3):447–52. https://doi.org/10.4103/2141-9248.133476
     [Google Scholar]
  9. Avci A, Avci BS, Sener K. Anaphylactic shock due to non-ruptured hydatid cyst of liver. J Coll Phys Surg Pak. 2021 Feb 1; 31:(02):247. https://doi.org/10.29271/jcpsp.2021.02.247
     [Google Scholar]
  10. Davarci I, Tuzcu K, Karcioglu M, Yetim I, Aydogan A, Turhanoglu S. Anaesthetic management of anaphylactic shock caused by nonruptured hydatid cyst of the liver. West Indian Med J. 2015 Jun 5; 63:(5):545–7. https://doi.org/10.7727/wimj.2013.090
     [Google Scholar]
  11. Yilmaz M, Akbulut A, Kahraman A, Yilmaz S. Liver hydatid cyst rupture into the peritoneal cavity after abdominal trauma: case report and literature review. Int Surg. 2012 Jul– Sep; 97:(3):239–44. https://doi.org/10.9738/CC116.1.
     [Google Scholar]
  12. Moro P, Schantz PM. Echinococcosis: a review. Int J Infect Dis. 2009; 13:(2):125–33. https://doi.org/10.1016/j.ijid.2008.03.037
     [Google Scholar]
  13. Siracusano A, Teggi A, Ortona E. Human cystic echinococcosis: old problems and new perspectives. Interdiscip Perspect Infect Dis. 2009 Nov; 2009:474368. https://doi.org/10.1155/2009/474368
     [Google Scholar]
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Anaphylactic shock due to an unruptured hydatid cyst: A case report
Journal of Emergency Medicine, Trauma and Acute Care 2025, 42 (2025); https://doi.org/10.5339/jemtac.2025.42
/content/journals/10.5339/jemtac.2025.42
/content/journals/10.5339/jemtac.2025.42
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Keyword(s): anaphylaxis, Cyst, Echinococcus, hydatid and liver

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