Anaphylatic Shock during Surgery for Hydatid Cyst of the Liver

Hydatidosis is a common pathology in the Maghreb countries and which still remains endemic in Morocco. It is more common in young adults with a female predominance. Hydatid cyst is a serious complication, requiring rapid diagnosis and appropriate therapeutic response. We report a case of intraoperative anaphylactic shock in a patient operated on for a hepatic and peritoneal hydatid cyst aged 31 years, without any pathological history, the clinic was mainly marked by abdominal pain and a feeling of heaviness evolving for 3 weeks. The blood count, blood ionogram, hemostasis and renal assessment are normal and the liver assessment noted the presence of hepatic cytolysis (AST: 496 IU/L and ALT: 378 IU/L) as well as a Positive hydatid serology. The intraoperative period is marked by the appearance of vascular collapse with arterial hypotension 59/34 and a mean arterial pressure of 35 mmHg followed by a desaturation of 62% and without associated skin signs.