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Life Threatening Anaphylaxis during the Aspiration of a Hydatid Cyst

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Author(s): Gaurav Bhalla | Amrik Singh

Journal: Electronic Physician
ISSN 2008-5842

Volume: 3;
Issue: 4;
Start page: 396;
Date: 2011;
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Keywords: Obstructive jaundice | Hydatid cyst | Dilated intrahepatic biliary radicals | Anaphylaxis

ABSTRACT
A 65 year old male was admitted with symptoms of obstructive jaundice. On right upper quadrant ultrasound, acystic mass was seen at the porta hepatis. The gall bladder and common bile duct weren’t discernible. Theintrahepatic biliary ducts were dilated and did not communicate with the cystic lesion. To clinch the final diagnosis,aspiration of the cyst was performed under ultrasound guidance. During the process, the patient went intoanaphylactic shock and had to be resuscitated. Following aspiration of the cyst, there was a reduction in the size ofthe swelling. In a repeat ultrasound, the gall bladder was well visualized. Soon after, the patient’s jaundice began toregress. Microscopic examination of the fluid confirmed the diagnosis. The patient has been prescribed Albendozoleand was scheduled for surgery.
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