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


Anaphylactic shock, Hydatid cyst, Prevention, Surgery


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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Case Report

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Belhaj A, Et-Tayeb O, Ibn Majdoub K, Toughrai I, Laalim SA, Mazaz K. Anaphylactic shock during splenic hydatid cyst surgery: A case report. J Surg Med [Internet]. 2018 May 1 [cited 2024 May 18];2(2):154-6. Available from: