Jacobs Journal of Emergency Medicine

Anaphylactic Shock Diagnosed with Bedside Abdominal Ultrasonography and Computerized Tomography

Published on: 2018-03-05

Abstract

Aim: A comatose patient otherwise normal with no clues of medical history is a predicament not easy to solve. Focused abdominal sonography in trauma (FAST) may also help physicians to guide the diagnosis in cases of severe shock with unknown cause. Case: Here, we present a 29-year-old man with no known medical history who was brought to our emergency department (ED) intubated due to unconsciousness, hypotension, severe dyspnea and pruritus. On arrival to our ED, his pulse was filiform, and his extremities were cold and cyanotic. FAST examination to rule out trauma showed anechoic cysts in liver. His abdominal CT revealed ruptured pouch of a hydatic cyst. He was hospitalized in ICU and in the surgery clinics for four and two days after surgery, respectively. He was discharged with full recovery. Conclusion: when patients with severe shock signs admit EDs in areas where animal husbandry is common, anaphylaxis due to hydatic cyst rupture should be kept in mind. FAST and ensuing CT can give clues about cysts in the liver.

Keywords

Anaphylactic Shock, Severe Dyspnea, Hydatic Cyst Rupture