An 11-year-old girl was treated for pulmonary tuberculosis when she was 3 years old; then operated on to remove a hepatic hydatid cyst while she was 8 years old. The patient was admitted at emergency department for an acute abdomen following an abdominal contusion. The examination found a febrile and vomiting patient with abdominal pain. The palpation objectified a painful hepatic mass with matity of the sides. The biological assessment found a hyperleukocytosis at 13000 elements/mm3. The ultrasound and the CT-scan of the abdomen revealed two hepatic hydatid cysts (80x70 mm and 66x 58 mm) including one that has already ruptured. A RHC of type 3 (67x54 mm) was also found in the left kidney.The patient was urgently operated on to remove the ruptured hepatic cyst. She developed a cutaneous rush with hypotension. The cure of the renal cyst was differed 2 months later to reduce the time of the intervention considering the anaphylactic shock developed, and to avoid sowing the retroperitoine. The patient favorably evolved under treatment, using corticosteroid and antiparasitic therapy, and she has received albendozale-based medical treatment for six months. The follow up is for three years.
Observation 4