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Anesth Analg 2004;98:796-797
© 2004 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000099722.80132.17

CRITICAL CARE AND TRAUMA

Massive Rupture of a Hepatic Hydatid Cyst Associated with Mechanical Ventilation

Anastasia Anthi, MD, Chrisostomos Katsenos, MD, Stavroula Georgopoulou, MD, and Konstantinos Mandragos, MD

From the Intensive Care Unit, Hellenic Red Cross Hospital, Athens, Greece

Address correspondence and reprint requests to Anastasia Anthi, MD, 5120 Yuma Street, Washington, DC 20016. Address email to aanthi{at}mail.cc.nih.gov

An 80-yr-old woman with a complicated Echinococcus cyst of the liver underwent endotracheal intubation with a simple endotracheal tube and conventional mechanical ventilation that led to massive rupture of the cyst into the bronchi followed by fatal anaphylactic shock. We believe that the currently recommended use of a double-lumen endotracheal tube during surgery in the pulmonary hydatid cysts should be extended to hydatid cysts of the liver with thoracic involvement.

IMPLICATIONS: We present a case of massive rupture of hepatic Echinococcus cyst associated with mechanical ventilation. We believe that the use of a double-lumen endotracheal tube could be crucial in the management of the hydatid cysts of the liver with thoracic involvement.




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R A Fanne, M Khamaisi, D Mevorach, E Leitersdorf, N Berkman, U Laxer, and B Maly
Spontaneous rupture of lung echinococcal cyst causing anaphylactic shock and respiratory distress syndrome.
Thorax, June 1, 2006; 61(6): 550 - 550.
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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2004 by the International Anesthesia Research Society.