Anaphylactic shock during hydatid cyst surgery

Bensghir, Mustapha; Fjouji, Salaheddine; Bouhabba, Najib; Ahtil, Redouane; Traore, Alain; Azendour, H.; Kamili, N. Drissi

doi:10.4103/1658-354x.97031

Cited by 29 publications

(23 citation statements)

References 18 publications

(17 reference statements)

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“…The mortality rate due to anaphylaxis is between 3%-6%. 9 During excisional surgery, an anaphylactic reaction may occur after the rupturing of the cyst. The cause of the death in hydatid cyst rupture is due to anaphylaxis-related complications.…”

Section: Discussionmentioning

confidence: 99%

Anesthetic Management in a Patient With Surgical Excision of Spinal Cords Hydatid Cyst: A Case Report

Behnaz

Saeedi

Seddighi

2019

Int Clin Neurosci J

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Echinococcosis granulosus is the leading cause of spinal hydatid disease. Hydatidosis of the bone happens in 0.5%-3% of all the cases: the involvement in the vertebral column is 50%. In the endemic areas, one of the common causes of spinal cord compression is hydatid disease, and the diagnosis may remain obscure until specifying symptoms ensuing from complications due to root and cord compression. We present a case of recurrent spinal cords hydatid cyst in a 44 years old patient because it occurs rarely, and anesthetic management in such cases has never evaluated before.

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Section: Discussionmentioning

confidence: 99%

Anesthetic Management in a Patient With Surgical Excision of Spinal Cords Hydatid Cyst: A Case Report

Behnaz

Saeedi

Seddighi

2019

Int Clin Neurosci J

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“…Medical prevention, including histamine H1 and H2 receptor blockers and corticosteroids, remains controversial. If a vasopressor is needed, epinephrine is the first‐line treatment according to most guidelines on perioperative management of anaphylaxis .…”

Section: Discussionmentioning

confidence: 99%

Percutaneous nephroscopic management of an isolated giant renal hydatid cyst guided by single‐incision laparoscopy using conventional instruments: The Santosh‐PGI technique

Kumar

Choudhary

Pushkarna

et al. 2013

Asian J Endoscop Surgery

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Percutaneous aspiration and instillation of scolicidal agents followed by re-aspiration have been previously reported. This is an attractive procedure because of its acceptable success rates and reduced morbidity. In our case, simple aspiration of the cyst would not have been successful because the cyst was full of daughter cysts. Also, a blind percutaneous puncture of the cyst and dilatation could have perforated the colon or the mesocolon, which is often wrapped over the surface of such giant cysts thereby making laparoscopic guidance and mobilization of the colon imperative. We devised this unique treatment method for this patient involving three conventional ports at a single umbilical site. We believe this is the first reported case of its kind in the world. Not only this technique is minimally invasive, it is also cost-effective, as only conventional laparoscopic ports and instruments are used during the procedure.

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“…Nevertheless, the diagnosis of anaphylaxis should be established by various immunologic immunofluorescence reactions and immunoelectrophoresis hemagglutination. [4] In our center, these reactions were unavailable and not realized in our patient. For vasopressor, epinephrine is the first-line treatment in most guidelines on perioperative management of anaphylaxis.…”

Section: Discussionmentioning

confidence: 99%

“…Anaphylactic or anaphylactoid reactions may also be secondary to complement activation with liberation of anaphylatoxins. [4] Under anesthesia, cardiovascular signs such as hypotension, tachycardia, and arrhythmia predominate. Cutaneous symptoms, such as rash, flushing, and urticaria, are common in the neck, face, and especially on the anterior chest, but these signs are often hidden by surgical draping.…”

Section: Discussionmentioning

confidence: 99%

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Hydatid Cyst Liver Excision: The Twin Problems of Anaphylaxis and Hypernatremia

Rao¹,

S²,

Gudimani³

2015

jemds

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Hydatid cyst infestation is most commonly encountered in liver. Though several procedures have been described in the treatment of hepatic echinococcal cysts ranging from simple puncture to liver resection, radical surgery (Total pericystectomy or partial hepatectomy) is indicated for liver cyst. Prevention of spillage into the peritoneal cavity and wound edges by injecting a scolicidal agent into the unopened cyst and walling off the operative field with sponges soaked in a scolicidal agent are the two most commonly employed measures. 20% hypertonic saline is one of the recommended scolicidal agent, but can be associated with hypernatremia. Anaphylaxis during hydatid cyst resection is one of the rare occurrences. We hereby describe the twin problem of Anaphylaxis intraoperatively and hypernatremia postoperatively and its management.

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Anaphylactic shock during hydatid cyst surgery

Cited by 29 publications

References 18 publications

Anesthetic Management in a Patient With Surgical Excision of Spinal Cords Hydatid Cyst: A Case Report

Anesthetic Management in a Patient With Surgical Excision of Spinal Cords Hydatid Cyst: A Case Report

Percutaneous nephroscopic management of an isolated giant renal hydatid cyst guided by single‐incision laparoscopy using conventional instruments: The Santosh‐PGI technique

Hydatid Cyst Liver Excision: The Twin Problems of Anaphylaxis and Hypernatremia

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