Aljanaahi Hamed, Al-Nahhas Omar Farooq, Alameri Fatima M, Al Marzooqi Muneer
Emergency Medicine, Tawam Hospital, Al Ain, ARE.
Clinical Sciences, Ajman University, Ajman, ARE.
Cureus. 2025 Jul 13;17(7):e87838. doi: 10.7759/cureus.87838. eCollection 2025 Jul.
Hydatid disease, caused by Echinococcus granulosus, commonly affects the liver. Traumatic cyst rupture is rare, and when complicated by anaphylaxis, it poses a life-threatening emergency. A 33-year-old male patient presented with severe abdominal and chest pain after falling from a height. Imaging revealed multiple hepatic hydatid cysts, one of which ruptured. Shortly after the CT scan, the patient developed hypotension, erythema, pruritus, and throat tightness consistent with anaphylaxis. He was treated with epinephrine, corticosteroids, antihistamines, oxygen, and intravenous fluids, stabilized, and admitted for further care. This case illustrates a rare but serious complication of hydatid cyst rupture after trauma. Prompt recognition and interventions are essential, particularly in endemic areas.
由细粒棘球绦虫引起的包虫病通常累及肝脏。外伤性囊肿破裂很少见，当并发过敏反应时，会构成危及生命的紧急情况。一名33岁男性患者从高处坠落，出现严重的腹部和胸痛。影像学检查发现多个肝包虫囊肿，其中一个破裂。CT扫描后不久，患者出现低血压、红斑、瘙痒和喉咙发紧，符合过敏反应表现。给予肾上腺素、皮质类固醇、抗组胺药、氧气和静脉输液治疗后，病情稳定，随后入院接受进一步治疗。该病例说明了外伤后包虫囊肿破裂这一罕见但严重的并发症。及时识别和干预至关重要，尤其是在流行地区。
