Cliniques Universitaires Saint Luc, Universite Catholique de Louvain (UCL), Department of Critical Care Medicine, Avenue Hippocrate, 10, 1200 Brussels, Belgium.
Hepatobiliary Pancreat Dis Int. 2009 Dec;8(6):638-9.
Echinococcosis is a severe helminthic zoonosis largely caused by Echinococcus granulosus and frequently encountered in endemic areas. The liver and lung are the most frequently involved organs. Cyst rupture into the peritoneal cavity represents a rare but serious complication. Herein, we describe an acute occurrence of anaphylactic shock due to a spontaneous rupture of hydatid cyst in a 21-year-old Turkish patient unwittingly infected by Echinococcosis. Resection surgery of the perforated cyst in combination with cleaning of the abdominal cavity was performed. The patient rapidly improved and no relapse occurred during a follow-up of 8 months. Anaphylaxis is a serious complication of hydatid cyst rupture and needs to be promptly diagnosed. The main objective of our report is to underscore this life-threatening complication that should be considered when anaphylactic shock of unknown origin occurs, even in non-endemic regions. Moreover, we emphasize the need for a radical surgical approach to avoid widespread dissemination.
包虫病是一种严重的寄生虫性动物源性传染病，主要由细粒棘球绦虫引起，在流行地区较为常见。肝脏和肺部是最常受累的器官。囊破裂进入腹腔是一种罕见但严重的并发症。本文描述了一名 21 岁的土耳其患者因细粒棘球蚴感染而意外感染包虫病，其囊破裂导致过敏性休克的急性发作。对穿孔的囊进行了切除术，并进行了腹腔清洗。患者迅速好转，在 8 个月的随访中无复发。过敏反应是包虫囊肿破裂的严重并发症，需要及时诊断。我们报告的主要目的是强调这种危及生命的并发症，即使在非流行地区，当发生不明原因的过敏性休克时，也应考虑这种并发症。此外，我们强调需要进行彻底的手术治疗，以避免广泛传播。
