Anaphylactic shock during splenic hydatid cyst surgery: A case report

Anas Belhaj; Ouazzani Et-Tayeb; Karim Ibn Majdoub; Imane Toughrai; Said Ait Laalim; Khalid Mazaz

doi:10.28982/josam.398389

Authors

Anas Belhaj
Ouazzani Et-Tayeb
Karim Ibn Majdoub
Imane Toughrai
Said Ait Laalim
Khalid Mazaz

DOI:

https://doi.org/10.28982/josam.398389

Keywords:

Anaphylactic shock, Hydatid cyst, Prevention, Surgery

Abstract

Hydatid disease is a common parasitic infection caused by Echinococcus granulosus. Isolated splenic involvement is an uncommon condition even in endemic regions. The treatment of a splenic hydatid cyst is mainly surgical. Complications can occur during surgery such as anaphylactic shock. We report here the case of a patient who was admitted in our hospital for splenic hydatid cyst. She was 31 years old. She was admitted for a dull pain in the left hypochondrium. An abdominal examination objectified a patient with normal vital signs, she had a slight tenderness in the left hypochondria and epigastric regions. No hepatomegaly was found. Abdominal computed tomography revealed an isolated splenic cystic lesion measuring about 8, 2 cm in diameters and containing floating membranes. The patient was operated and a left subcostal incision. The Surgical exploration revealed a hydatid cyst occupying the middle region of splenic parenchyma, only a thin layer of splenic tissue was present in superior and inferior surface. At the end of the surgery the patient presented tachycardia, hypotension and extensive skin erythema. Conclusion: hemodynamic instability, should suggest the diagnosis of anaphylaxis in order to begin specific management, all preventive measures can be justified given of severity of anaphylaxis.

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