Renal Kist Hidatik Eksizyonu Sırasında İntraoperatif Anafilaktik Şok

Kist hidatik, Ekinokokus Granulosus etkeninin insanda çeşitli doku ve organlara yerleşmesiyle oluşan paraziter bir enfeksiyondur. Operasyon sırasında yüksek antijenik özelliğe sahip kist sıvısının sistemik dolaşıma geçişi, immünglobulin E’ye bağlı ortaya çıkan aşırı duyarlılık reaksiyonlarına neden olabilir. Aşırı duyarlılık reaksiyonları benign ürtiker ve kısa süreli titremeden ciddi anafilaktik şoka kadar değişen klinik tablolar ile ortaya çıkabilmektedir. Bu olgu sunumunda, renal kist hidatik vakasında genel anestezi altında iken gelişen tip 1 allerjik reaksiyonu ve tedavi stratejimizi sunmayı amaçladık

Intraoperative Anaphylactic Reaction During Renal Hydatid Cyst Operation: Case Report

Hydatid cyst related to Echinococcus granulosis is a parasitic infection of humans settled in various tissues and organs. Transition of cystic fluid with high antigenic property to systemic circulation during an operation can cause intense hypersensitivity reactions related to Immunoglobulin E hypersensitivity reactions and may occur with clinical situations ranging from benign urticaria and short-term shivering to severe anaphylactic shock. In this case,we aimed to present the case of type 1 allergic reaction which developed during renal hydatid cyst operation performed under general anesthesia and our treatment strategy.

Keywords:

Anaphyflactıc reaction, hydatid cyst, general anaesthesia,

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Bochner BS, Lichtenstein LM. Anaphylaxis. N Engl J Med 1991;324:1785-90.

San Pedro BS, Cazana JL, Cobo J et al. Anaphylactic shock by rupture of hydatid hepatic cyst. Follow-up by spesific IgE serum antibodies. Allergy 1992;47:568-70.

Sola JL, Vaquerizo A, Madariaga MJ, Opla JM, Bondia A. Intraoperative anaphylaxis caused by a hydatid cyst. Acta Anaesthesiol Scand 1995;39:273-4.

Vaquerizo A, Sola JL, Bondia A et al. Intraoperative hydatid anaphylactic shock. Rev Esp Anestesiol Reanim 1994;41:113-6.

Khallouki M, Rouiessi Y, Danaoui Y, Sihami A, Samkaoui MA, Fennich A. Anaphylactic shock during liver hydatid cyst surgery. J Clin Anesth. 2012 ;24:173-4.

Li Y, Zheng H, Cao X, Liu Z, Chen L. Demographic and clinical characteristics of patients with anaphylactic shock after surgery for cystic echinococcosis. Am J Trop Med Hyg 2011; 85:452-5.

Yang G, Wang X, Mao Y, Liu W. Case report of primary retroperitoneal hydatid cyst. Parasitol Int 2011; 60:333-4.

Sheffer AL. Anaphylaxis : clinical aspects. Allergy Asthma Proc 2004; 25:31-2.

Lieberman P. Anaphylactic reactions during surgical and medical procedures. J Allergy Clin Immunol 2002; 110(2 Suppl):S64-9.

Alansari M, Alsanouri I. Atypical intraoperative anaphylactic shock with ECG changes secondary to non-ruptured hepatic hydatid cyst. BMJ Case Rep 2013; 30:2013.

Besim H,Erverdi H,Korkmaz A ,Kist hidatikte skolasidal madde kullanımı. Güncel Gastroenteroloji 2000; 4:53-8.