title: Anaphylactic shock as a single presentation of Echinococcus cyst.
abstract: We describe the case of a 14-year-old boy of Turkish origin, presenting with anaphylactic shock after a minor abdominal trauma. Further investigations revealed a hepatic Echinococcal cyst without evidence of rupture. Anti-helminthic therapy was administered. Because of aggravating symptoms and recurrent anaphylaxis, surgical excision was performed. Intra-operative, a rupture into the biliary tree was seen. After surgery, the anaphylactic symptoms disappeared and the patient recovered. This case-report supports the fact that anaphylactic shock can be the only presentation of a hydatid cyst. Microscopic spillage can possibly be sufficient to cause major anaphylaxis.
authors: Paediatric Gastroenterology Dpt., Ghent University Hospital, Gent. leen.dewispelaere@ugent.be
authors: L
authors: L
authors: De Wispelaere
authors: S
authors: S
authors: Vande Velde
authors: P
authors: P
authors: Schelstraete
authors: K
authors: K
authors: Van Renterghem
authors: F
authors: F
authors: Moerman
authors: S
authors: S
authors: Van Biervliet
authors: M
authors: M
authors: Van Winckel
mesh_terms: D000293:Adolescent; D000707:Anaphylaxis / Q000469:parasitology*; D000818:Animals; D004444:Echinococcosis, Hepatic / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D004446:Echinococcus / Q000276:immunology*; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging / Q000469:parasitology; D008297:Male; D011859:Radiography; D014463:Ultrasonography