Massive Rupture of a Hepatic Hydatid Cyst Associated with Mechanical Ventilation

Anthi, Anastasia; Katsenos, Chrysostomos; Georgopoulou, Stavroula; Mandragos, Konstantinos

doi:10.1213/01.ane.0000099722.80132.17

Cited by 6 publications

(5 citation statements)

References 10 publications

(9 reference statements)

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“…Another common site of Echinococcus cysts localization includes the lungs (5 % to 16 %) and the liver together with the lungs can be affected simultaneously in about 5 -13 % of cases. However, cysts may also affect other locations, including the brain, the spleen, soft tissues, bones and the spinal extra-dural space (Gόmez et al, 1995;Anthi et al, 2004;Kir et al, 1995). In our study, simultaneous occurrence in the liver and lungs was confirmed in 3 (10 %) patients.…”

Section: Discussionmentioning

confidence: 99%

Liver cystic echinococcosis in humans — a study of 30 cases

Culafić¹,

Katić-Radivojević

Kerkez³

et al. 2007

Helminthologia

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157 SummaryThe aim of this study is to demonstrate the clinical manifestations and diagnostic approach to liver hydatid disease and suggest its treatment. The prospective study was carried out on 30 patients with liver hydatidosis. Hepatologic examinations were based on: medical history, physical examination, biochemical and serological tests, ultrasonography and computed tomography scanning. Twenty-five (83.3 %) patients underwent radical cyst resection, while in 5 (16.7 %) cases liver resection with left lobectomy was also performed. Hydatid cyst was histopathologically verified in all the patients. Our results showed that the patients with multiple cysts had impaired functional liver tests significantly more often than patients with unilocular cyst. In addition, ultrasonography and computed tomography scans are the valid imaging procedures in diagnosis. Radical, surgical resection of hepatic hydatid cysts is the goal of treatment.

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Section: Discussionmentioning

confidence: 99%

Liver cystic echinococcosis in humans — a study of 30 cases

Culafić¹,

Katić-Radivojević

Kerkez³

et al. 2007

Helminthologia

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“…Spontaneous rupture of an echinococcal cyst is not infrequent in the liver but occurs only rarely in the lung. [1][2][3] To our knowledge, this is the first case report of spontaneous hydatid cyst rupture into the bronchial tree with anaphylactic shock and acute respiratory distress syndrome. Learning point N Spontaneous rupture of an echinococcal cyst in the lung is a rare clinical entity and may cause anaphylactic shock and acute respiratory distress syndrome.…”

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confidence: 99%

Spontaneous rupture of lung echinococcal cyst causing anaphylactic shock and respiratory distress syndrome

Fanne

Khamaisi

Mevorach

et al. 2006

Thorax

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A 21 year old woman was admitted to hospital with a persistent productive cough, dyspnoea, and fever. There was no history of sweats or haemoptysis. At admission a chest radiograph showed a 6 cm lesion at the base of the left lower lobe with an air fluid level ( fig 1A) and an additional cavitary lesion in the left apex. The blood count was within the normal range with 0.7% eosinophils.Five days later the patient developed severe respiratory distress and her oxygen saturation on room air fell to 82%. She was intubated and mechanically ventilated. At this time the eosinophil count had increased to 10%. Over the following few hours the patient developed shock with a blood pressure of 85/40 and worsening hypoxaemia (saturation 75% on 100% oxygen). The mode of ventilation was changed to pressure control without significant improvement in blood oxygenation. The eosinophil count reached 16.9% (total 12 800) and the chest radiograph showed bilateral infiltrates compatible with ARDS ( fig 1B). Fibreoptic bronchoscopy with bronchoalveolar lavage (BAL) showed no evidence of bronchial obstruction. Multiple blood and BAL cultures were negative for microorganisms, but pathological examination of the BAL fluid revealed numerous echinococcal scolices (fig 2). A combined regimen of albendazole and praziquantel was started together with high dose intravenous steroids. Four weeks later she was discharged in a stable condition on albendazole for 3 months. The patient then underwent a resection of the cyst and lobectomy of the left lower lobe with an uneventful recovery. The pathological specimen revealed a typical echinoccocal cyst.Hydatid disease caused by Echinococcus granulosa occurs most frequently in the liver and lung. Spontaneous rupture of an echinococcal cyst is not infrequent in the liver but occurs only rarely in the lung. 1-3 To our knowledge, this is the first case report of spontaneous hydatid cyst rupture into the bronchial tree with anaphylactic shock and acute respiratory distress syndrome.

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“…[8,9] The magnitude of allergic reactions ranges from mild hypersensitivity to fatal anaphylactic shock. [10,11] Pheochromocytoma secretes predominantly norepinephrine. Sustained severe hypertension is often the most common presentation of pheochromocytoma.…”

Section: Discussionmentioning

confidence: 99%

“Anesthetic Management of Rare Case of Lung and Liver Hydatid Cyst with Bilateral Pheochromocytoma” – A Case Report

Engineer¹,

Patel²,

Lakhani³

et al. 2019

J Clin Res Anesthesiol

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Massive Rupture of a Hepatic Hydatid Cyst Associated with Mechanical Ventilation

Abstract: We present a case of massive rupture of hepatic Echinococcus cyst associated with mechanical ventilation. We believe that the use of a double-lumen endotracheal tube could be crucial in the management of the hydatid cysts of the liver with thoracic involvement.

Cited by 6 publications

References 10 publications

Liver cystic echinococcosis in humans — a study of 30 cases

Liver cystic echinococcosis in humans — a study of 30 cases

Spontaneous rupture of lung echinococcal cyst causing anaphylactic shock and respiratory distress syndrome

“Anesthetic Management of Rare Case of Lung and Liver Hydatid Cyst with Bilateral Pheochromocytoma” – A Case Report

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