An uncommon cause of intra-abdominal sepsis: A case report
Abstract
The abdomen is the second most common site for sepsis. This potentially life- threatening condition necessitates finding the source and providing prompt medical and/or surgical treatment. This presentation reveals an uncommon cause of intra- abdominal sepsis.A 43-year-old woman presented to the emergency department with abdominal pain, tachycardia, tachypnea, and generalized abdominal tenderness. The evaluation of the laboratory tests showed an elevation in white blood cell count and liver enzymes. Ultrasonography of the liver revealed the presence of hydatid cysts, and the abdomino- pelvic computed tomography scan with contrast displayed multiple pyogenic cysts in her liver, one of which had ruptured into the peritoneum. She underwent surgery, received antimicrobial agents, and was successfully discharged without experiencing any complications.One clinical presentation of a hepatic hydatid cyst could be intra-abdominal sepsis, which requires emergency surgery along with antibiotic and anti-helminthic drugs.
[2] Hecker A, Reichert M, Reuß C, Schmoch T, Riedel J, Schneck E, et al. Intra-abdominal sepsis: new definitions and current clinical standards. Langenbeck’s Archives of Surgery. 2019;404:257- 71. https://doi.org/10.1007/s00423-019-01752-7
[3] Clements T, Tolonen M, Ball C, Kirkpatrick A. Secondary peri- tonitis and intra-abdominal sepsis: an increasingly global disease in search of better systemic therapies. Scandina- vian Journal of Surgery. 2021;110(2):139-49. https://doi. org/10.1177/1457496920984078
[4] Akther J, Khanam N, Rao S. Clinico epidemiological profile of hydatid diseases in central India, a retrospective and prospec- tive study. Int J Biol Med Res. 2011;2(3):603-6.
[5] Kern P, Menezes da Silva A, Akhan O, Müllhaupt B, Vizcay- chipi KA, Budke C, et al. Chapter Four - The Echinococcoses: Diagnosis, Clinical Management and Burden of Disease. In: Thompson RCA, Deplazes P, Lymbery AJ, editors. Advances in Parasitology. 96: Academic Press; 2017. p. 259-369. https:// doi.org/10.1016/bs.apar.2016.09.006
[6] Wen H, Vuitton L, Tuxun T, Li J, Vuitton DA, Zhang W, et al. Echinococcosis: Advances in the 21st Century. Clin Microbiol Rev. 2019;32(2). https://doi.org/10.1128/CMR.00075-18
[7] Sen P, Demirdal T, Nemli SA. Evaluation of clinical, diagnostic and treatment aspects in hydatid disease: analysis of an 8-year experience. Afr Health Sci. 2019;19(3):2431-8. https://doi. org/10.4314/ahs.v19i3.17
[8] Ferrer Inaebnit E, Molina Romero FX, Segura Sampedro JJ, González Argenté X, Morón Canis JM. A review of the diag- nosis and management of liver hydatid cyst. Rev Esp En- ferm Dig. 2022;114(1):35-41. https://doi.org/10.17235/ reed.2021.7896/2021
[9] Regmee S, Maharjan DK, Thapa PB. The Current Protocols in the Management of Hepatic Hydatid Disease. Indian Jour- nal of Surgery. 2021;83(4):810-7. https://doi.org/10.1007/ s12262-021-02724-2
[10] García MB, Lledías JP, Pérez IG, Tirado VV, Pardo LF, Bellvís LM, et al. Primary super-infection of hydatid cyst-clinical setting and microbiology in 37 cases. Am J Trop Med Hyg. 2010;82(3):376- 8. https://doi.org/10.4269/ajtmh.2010.09-0375
[11] Derici H, Tansug T, Reyhan E, Bozdag AD, Nazli O. Acute Intra- peritoneal Rupture of Hydatid Cysts. World Journal of Surgery. 2006;30(10):1879-83. https://doi.org/10.1007/s00268-005- 0699-0
[12] Tinsley B, Abbara A, Kadaba R, Sheth H, Sandhu G. Sponta- neous intraperitoneal rupture of a hepatic hydatid cyst with subsequent anaphylaxis: a case report. Case Reports Hepatol. 2013;2013:320418. https://doi.org/10.1155/2013/320418
[13] Toumi O, Noomen F, Salem R, Rabeh H, Jabra SB, Korbi I, et al. Intraperitoneal rupture of hydatid cysts. European Journal of Trauma and Emergency Surgery. 2017;43(3):387-91. https:// doi.org/10.1007/s00068-016-0662-9
[14] Keong B, Wilkie B, Sutherland T, Fox A. Hepatic cystic echi- nococcosis in Australia: an update on diagnosis and man- agement. ANZ J Surg. 2018;88(1-2):26-31. https://doi. org/10.1111/ans.14117
[15] Lin J, Zangi M, Kumar T, Shakar Reddy M, Reddy LVR, Sadhukhan SK, et al. Synthetic Derivatives of Ciclopirox are Effective Inhibi- tors of Cryptococcus neoformans. ACS Omega. 2021;6(12):8477- 87. https://doi.org/10.1021/acsomega.1c00273
| Files | ||
| Issue | Vol 8 No 6 (2023): November-December | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/crcp.v8i6.16236 | |
| Keywords | ||
| Intra-abdominal infection Hepatic hydatid cyst Case report | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
