Anaphylactic shock as a single presentation of Echinococcus cyst
Journal | Volume 74 - 2011 |
Issue | Fasc.3 - Case reports |
Author(s) | L. De Wispelaere, S. Vande Velde, P. Schelstraete, K. Van Renterghem, F. Moerman, S. Van Biervliet, M. Van Winckel |
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(1) Paediatric Gastroenterology Dpt., (2) Paediatric Infectiology Dpt., (3) Paediatric surgery Dpt., (4) Internal medicine and infectiology Dpt., Ghent University Hospital, Gent. |
We describe the case of a 14-year-old boy of Turkish origin, pre- senting with anaphylactic shock after a minor abdominal trauma. Further investigations revealed a hepatic Echinococcal cyst with- out evidence of rupture. Anti-helminthic therapy was adminis- tered. Because of aggravating symptoms and recurrent anaphylax- is, surgical excision was performed. Intra-operative, a rupture into the biliary tree was seen. After surgery, the anaphylactic symptoms disappeared and the patient recovered. This case-report supports the fact that anaphylactic shock can be the only presentation of a hydatid cyst. Microscopic spillage can possibly be sufficient to cause major anaphylaxis. (Acta gastroenterol. belg., 2011, 74, 462- 464). |
© Acta Gastro-Enterologica Belgica. PMID 22103055 |