Skip Navigation LinksHome > March 2014 - Volume 35 - Issue 1 > Sudden Death Due to Hydatid Cyst: Thirty-Four Medicolegal Au...
American Journal of Forensic Medicine & Pathology:
doi: 10.1097/PAF.0000000000000064
Original Articles

Sudden Death Due to Hydatid Cyst: Thirty-Four Medicolegal Autopsy Cases

Jedidi, Maher MD; Mlayeh, Souheil MD; Masmoudi, Tasnim MD; Souguir, Mohamed Kamel MD; Zemni, Majed MD

Collapse Box


Abstract: The natural history of the echinococcosis can be studded with multiple complications; the most formidable is sudden death. We studied the epidemiological, pathological, and thanatological features of 34 sudden deaths due to hydatid cyst. The mean age was 33.2 years. A male predominance was observed with a sex ratio of 1.8. Most of our victims were from rural areas (79.4%). Sudden death was preceded by prodromal symptoms in 61.7% of cases. The most common was dyspnea (23.5%), followed by hemoptysis (11.8%). In 85.3% of cases, the cyst location was liver. It was cracked in 25 cases and broken in 6 cases. The rupture was spontaneous in 25 cases (73%). It was preceded by trauma in 7 cases. Death was related to an anaphylactic shock in 82.3% of cases, infection in 14.7%, and respiratory distress in 3% of cases. Sudden death is a serious and not exceptional complication of hydatid cyst. Several mechanisms may explain the sudden death.

© 2014 by Lippincott Williams & Wilkins.


Article Tools


Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.