A Case Report on the Intraperitoneal Rupture of Liver Hydatid Cyst due to the Abdominal Trauma

Document Type : Case Study

Authors

1 School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran

2 Dep. Surgery, School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran

Abstract

Introduction: Hydatid disease is a parasitic disease that occurs mostly in the liver and can be asymptomatic to a wide range of symptoms. The patient usually complains of the mass pressure effects or cyst rupture.
Case: The patient was 11-year-old boy who presented with abdominal pain. Patients noted a history of trauma to the abdomen 2 days before admission. On physical examination, patient has generalized urticarial rashes, especially on the trunk and thighs that were pruritus. In abdominal ultrasound image of a hypoechoic mass with a lot of free fluid in the abdomen was seen. In CT scan a view of the Water lily sign was seen. For patient open abdominal surgery was performed. Masses were removed and the peritoneal cavity was lavaged with povidone iodine and hypertonic fluid. 7 days after surgery, the patient was discharged with good condition and Albendazole order.
Discussion: Traumatic rupture is themost serious complication of hydatid cyst that can cause anaphylaxis and death and usually needs emergent surgery.

Keywords

References

1.            Dhua AK, Sharma A, Sarin YK. Intraperitoneal Rupture of Hepatic Hydatid Cyst Following Blunt Abdominal Trauma. APSP journal of case reports. 2012;3(2):10.
2.            Mouaqit O, Hibatallah A, Oussaden A, Maazaz K, Taleb KA. Acute intraperitoneal rupture of hydatid cysts: a surgical experience with 14 cases. World Journal of Emergency Surgery. 2013;8(1):1.
3.            Akcan A, Sozuer E, Akyildiz H, Ozturk A, Atalay A, Yilmaz Z. Predisposing factors and surgical outcome of complicated liver hydatid cysts. World journal of gastroenterology: WJG. 2010;16(24):3040.
4.            Kalantari N, Bayani M, Abbas-zadeh M. Rupture of Hydatid Liver Cyst into Peritoneal Cavity Following Blunt Abdominal Trauma; a Case Report. Emergency. 2015;3(1):45.
5.            Atabek C, Caliskan M, Guven A, Demirbag S, Surer I. PO-0906 Intraperitoneal Rupture Of Hepatic Hydatid Cyst Following Blunt Abdominal Trauma In A 7-year-old Boy. Archives of Disease in Childhood. 2014;99(Suppl 2):A546-A7.
6.            Shahidi dM, Gheisari M, Rahimi H, Lotfi S, Sobhiye Mr. Itching after blunt trauma to the abdomen, the initial presentation of hydatid cyst ruptured. 2009.
7.            Yilmaz M, Akbulut S, Kahraman A, Yilmaz S. Liver hydatid cyst rupture into the peritoneal cavity after abdominal trauma: case report and literature review. International surgery. 2012;97(3):239-44.
8.            Ray S, Das K. Spontaneous intraperitoneal rupture of hepatic hydatid cyst with biliary peritonitis: a case report. Cases journal. 2009;2.
9.            Ahuja S, Karande S, Koteyar S, Kulkarni M. Hepatic hydatid cyst rupturing into sub-diaphragmatic space and pericardial cavity. Journal of postgraduate medicine. 2001;47(1):37.
10.         Chautems R, Bühler LH, Gold B, Giostra E, Poletti P, Chilcott M, et al. Surgical management and long-term outcome of complicated liver hydatid cysts caused by< i> Echinococcus granulosus. Surgery. 2005;137(3):312-6.
11.         Ozturk G, Aydinli B, Yildirgan MI, Basoglu M, Atamanalp SS, Polat KY, et al. Posttraumatic free intraperitoneal rupture of liver cystic echinococcosis: a case series and review of literature. The American Journal of Surgery. 2007;194(3):313-6.
12.         Forero MV, Moncada JS, Leon MC, Arquiñigo LS, Brown RA. An Unusual Case of Anaphylaxis after Blunt Abdominal Trauma. The Journal of emergency medicine. 2016;50(3):e143-e6.
13.         Gargouri M, Amor NB, Chehida FB, Hammou A, Gharbi HA, Cheikh MB, et al. Percutaneous treatment of hydatid cysts (Echinococcus granulosus). Cardiovascular and interventional radiology. 1990;13(3):169-73.
14.         Sharma B, Agarwal N, Garg S, Kumar R, Sarin S. Endoscopic management of liver abscesses and cysts that communicate with intrahepatic bile ducts. Endoscopy. 2006;38(3):249-53.
 
Navid No
Volume 19, Issue 62
July 2016
Pages 49-53

Files

Share

How to cite

Statistics