Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of severe abdominal pain, nausea, and vomiting, following a history of known hepatic hydatid cyst. Symptoms are consistent with cyst rupture, potentially complicated by anaphylactic reaction (urticaria, wheezing, hypotension). Review of systems positive for recent abdominal trauma or spontaneous rupture.
Clinical Examination Findings
Abdominal examination reveals localized or generalized peritonitis, guarding, and rebound tenderness. Hepatomegaly may be noted. Vital signs assessment for signs of systemic inflammatory response or anaphylactic shock (tachycardia, hypotension, tachypnea). Skin assessment for urticarial rash or flushing.
Treatment Protocol
Immediate stabilization of hemodynamic status. Administer intravenous fluids, antihistamines, corticosteroids, and epinephrine if anaphylaxis is present. Urgent surgical consultation for cyst evacuation and peritoneal lavage. Initiate long-term anti-parasitic therapy with Albendazole.