{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,24]],"date-time":"2026-05-24T12:03:30Z","timestamp":1779624210935,"version":"3.53.1"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2026,5,24]],"date-time":"2026-05-24T00:00:00Z","timestamp":1779580800000},"content-version":"vor","delay-in-days":23,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Traumatic rupture of a hepatic hydatid cyst is an exceptionally rare and life-threatening surgical emergency, particularly in endemic regions as Kurdistan region, Iraq. We report the case of a 19-year-old male who presented with acute right upper quadrant pain following an initially undisclosed abdominal assault. Despite unremarkable initial radiographs and laboratory investigations, bedside point-of-care ultrasound and subsequent computed tomography revealed a ruptured hepatic hydatid cyst with the characteristic \u2018water lily sign\u2019. The patient rapidly developed severe anaphylactic shock, requiring aggressive resuscitation with adrenaline and corticosteroids. Emergency laparotomy confirmed a ruptured hepatic hydatid cyst, which was managed with germinal layer removal, deroofing, and peritoneal irrigation. The patient made an uneventful recovery and remains disease-free at 30-month follow-up. This case underscores that anaphylaxis may be the primary manifestation of occult hydatid disease following trauma, necessitating a high index of clinical suspicion even in the absence of a known history.<\/jats:p>","DOI":"10.1093\/jscr\/rjag383","type":"journal-article","created":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T11:27:48Z","timestamp":1777980468000},"source":"Crossref","is-referenced-by-count":0,"title":["Traumatic intraperitoneal rupture of a hepatic hydatid cyst presenting as refractory anaphylactic shock: a rare case report"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-2081-1019","authenticated-orcid":false,"given":"Rafil A","family":"Bshara","sequence":"first","affiliation":[{"name":"Azadi Teaching Hospital, Emergency Medicine and Trauma , Duhok 42001 ,","place":["Iraq"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-7723-1474","authenticated-orcid":false,"given":"Rani A","family":"Bshara","sequence":"additional","affiliation":[{"name":"Azadi Teaching Hospital, Emergency Department , Duhok 42001 ,","place":["Iraq"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salih Hussein","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"Azadi Teaching Hospital, General Surgery , Duhok 42001 ,","place":["Iraq"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa Shukri","family":"Almufti","sequence":"additional","affiliation":[{"name":"Azadi Teaching Hospital, General Surgery , Duhok 42001 ,","place":["Iraq"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,5,24]]},"reference":[{"key":"2026052407262801100_ref1","doi-asserted-by":"publisher","first-page":"408","DOI":"10.3390\/pathogens11040408","article-title":"Insights into human cystic echinococcosis in the Kurdistan region, Iraq: characteristics and molecular identification of cysts","volume":"11","author":"Issa","year":"2022","journal-title":"Pathogens"},{"key":"2026052407262801100_ref2","doi-asserted-by":"publisher","first-page":"39","DOI":"10.14218\/JCTH.2015.00036","article-title":"Hepatic echinococcal cysts: a review","volume":"4","author":"Pakala","year":"2016","journal-title":"J Clin Transl Hepatol"},{"key":"2026052407262801100_ref3","doi-asserted-by":"publisher","first-page":"203","DOI":"10.25122\/jml-2018-0045","article-title":"Hepatic hydatid cyst - 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