Laparoscopic Management of Anaphylactic Shock Following Abdominal Trauma Revealing Intravascular Rupture of Cystic Echinococcosis (A Case Report and Brief Literature Review)

Accidental traumatic intraperitoneal rupture resulting by anaphylactic shock is the well-known complication, unlike to the anaphylactic shock caused by the intravascular spread of cyst contents which is rare. One of the common complications of hydatid disease is cyst rupture after trauma or spontaneous rupture. This article reports an unusual case description about 13 years old boy, following a trauma admitted to the public hospital with few signs. Ultrasonography demonstrated a hydatid cyst in the liver with the drainage of the cyst contents into the right hepatic vein without free peritoneal fluid. A shortly afterwards anaphylactic shock developed and the patient transferred to our emergency. An abdominal laparoscopic examination, after stabilization of patient confirmed rupture of the cyst, which was treated laparoscopically. Additionally, the patient received albendazole. The aim is to evaluate the feasibility and safety of laparoscopy in the management of complicated Hepatic echinococcosis, duration of surgery and hospital stay. We think that laparoscopic surgery can be recommended in this kind of clinical presentation of Echinococcosis.