Author/Editor		Lešničar, Gorazd; Vlaović, Miodrag; Gadžijev, Eldar M; Radič, Željko
Title		Anafilaktični šok po travmatski rupturi jetrne ehinokokne ciste v trebušno votlino
Translated title		Anaphylactic shock after traumatic rupture of hepatic echinococcal cyst into the abdominal cavity
Type		članek
Source		In: Reberšek-Gorišek J, editor. Črevesne okužbe. Zbornik predavanj Bedjaničev simpozij; 1997 jun 6-7; Maribor. Maribor: Splošna bolnišnica Maribor,
Publication year		1997
Volume		str. 129-47
Language		slo
Abstract		Background. In literature examples of anaphylactic shock as a consequence ofa rupture of the echnicoccal liver cyst after blunt abdominal trauma are rarely found. Mortality in such cases is high and its cause, because of frequently clinically inaparent echinococcosis is unfortunately found out not earlier but by the pathologist. Methods. The course of the treatment of an 13 years old boy is described who fell withhis abdomen on the ball when playing soccer. Immediately after the fall an anaphylactic shock set in. After a successful reanimation,urgent surgical intervention - cystopericystectomy in the segment VII. of the liver and local scolicidal and systemic antiparasitic treatment, the patient survived. Results. In spite of all the previous treatment and the patient's well feeling two years after surgical intervention a recidive of an exhinococcal cyst was found on the primary site with follow up ultrasound (UZ) and computed tomography (CT). Because of unsuitable anatomic position and abundant bleeding it had been impossible to extirpate the pericyst totally during pirmary surgical intervention. In 1996 a repeated surgical intervention was performed - subtotal pericystectomy was well endured by the patient. In spite of albendazol prophylaxis a recidive of echinococcal cyst was repeatedly established at the and 1996 in the same locality of the liver. The course of disease is still followed up. Conclusions. In spite of local upraise of recidive of an echinococcal cyst we believe that with an adequate surgical and systemic drug treatment we succeeded in prevention of dissemination of the disease in the patient. Although echinococcosis in Slovenia is relatively rare in differential diagnosis of etiologicaly unexplained systemic allergic reactions a possible secret parasitic disease should be considered.
Descriptors		ECHINOCOCCOSIS, HEPATIC ANAPHYLAXIS ABDOMINAL INJURIES WOUNDS, NONPENETRATING RUPTURE IGE