Mohammed Aabdi, Malki Khalil, Mellagui Yassine, Bkiyar Houssam, Housni Brahim
Anesthesiology and Intensive Care Unit Department, Faculty of Medicine and Pharmacy of Oujda, Mohammed VI University Hospital, Mohammed I University, Oujda, Morocco.
Int J Surg Case Rep. 2021 Apr;81:105660. doi: 10.1016/j.ijscr.2021.105660. Epub 2021 Mar 3.
Hydatid cyst is an infectious disease caused by « ECHINOCOCCUS GRANULOSIS », it can be asymptomatic or manifests depending on size, location, and relation with other organs, or by complication like rupture. This latter might occur spontaneously or post-traumatic, and it might manifest with an anaphylactic shock, a life-threatening situation.
Anaphylactic shock is a rare cause of traumatic shock state.
A 30 years old man with no medical history was admitted to the emergency room after a car accident, on his admission, his Glasgow coma scale was 10/15 with a blood pressure of 80/30 mmHg, he was intubated and stabilized hemodynamically. The full-body CT scan showed no abnormalities except on the thoracic level where it showed a well-limited rounded formation with regular contours containing hydro-aeric level related to ruptured hydatid cyst. After ruling out the diagnosis of hemorrhagic, hypovolemic shock, the diagnosis of anaphylactic shock due to a post-traumatic rupture of the hydatid cyst was maintained.
Post-traumatic rupture of the hydatid cyst is a rare emergency that requires early diagnosis and management. Surgery remains the principal treatment of ruptured hydatid cyst. Anaphylactic shock is a life-threatening situation with various symptoms; epinephrine is the cornerstone for management of this type of shock.
包虫囊肿是一种由“细粒棘球绦虫”引起的传染病，它可能无症状，或根据囊肿大小、位置、与其他器官的关系，或因破裂等并发症而表现出症状。后者可能自发发生或创伤后发生，可能表现为过敏性休克，这是一种危及生命的情况。
过敏性休克是创伤性休克状态的罕见原因。
一名30岁无病史男性在车祸后被送入急诊室，入院时格拉斯哥昏迷评分为10/15，血压为80/30 mmHg，予以气管插管并稳定血流动力学。全身CT扫描除胸部显示一个边界清晰、轮廓规则的圆形结构，内有与破裂包虫囊肿相关的液气平面外，未见其他异常。在排除出血性、低血容量性休克诊断后，维持创伤后包虫囊肿破裂所致过敏性休克的诊断。
创伤后包虫囊肿破裂是一种罕见的急症，需要早期诊断和处理。手术仍然是破裂包虫囊肿的主要治疗方法。过敏性休克是一种有多种症状的危及生命的情况；肾上腺素是这类休克治疗的基石。
