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Percutaneous Treatment of Splenic Cystic Echinococcosis: Results of 12 Cases

  • Clinical Investigation
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Abstract

Purpose

Cystic echinococcosis (CE) in the spleen is a rare disease even in endemic regions. The aim of this study was to examine the efficacy of percutaneous treatment for splenic CE.

Materials and Methods

Twelve patients (four men, eight women) with splenic CE were included in this study. For percutaneous treatment, CE1 and CE3A splenic hydatid cysts were treated with either the PAIR (puncture, aspiration, injection, respiration) technique or the catheterization technique.

Results

Eight of the hydatid cysts were treated with the PAIR technique and four were treated with catheterization. The volume of all cysts decreased significantly during the follow-up period. No complication occurred in seven of 12 patients. Abscess developed in four patients. Two patients underwent splenectomy due to cavity infection developed after percutaneous treatment, while the spleen was preserved in 10 of 12 patients. Total hospital stay was between 1 and 18 days. Hospital stay was longer and the rate of infection was higher in the catheterization group. Follow-up period was 5–117 months (mean, 44.8 months), with no recurrence observed.

Conclusion

The advantages of the percutaneous treatment are its minimal invasive nature, short hospitalization duration, and its ability to preserve splenic tissue and function. As the catheterization technique is associated with higher abscess risk, we suggest that the PAIR procedure should be the first percutaneous treatment option for splenic CE.

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Authors and Affiliations

  1. Department of Radiology, School of Medicine, Hacettepe University, 06100, Sıhhiye, Ankara, Turkey

    Okan Akhan, Selçuk Akkaya, Burcu Akpınar, Türkmen Çiftçi & Devrim Akıncı

  2. Department of Radiology, Istanbul School of Medicine, Istanbul University, Istanbul, Turkey

    Merve Gülbiz Dağoğlu

  3. Department of Radiology, Istanbul Bakirkoy Dr. Sadi Konuk Education and Research Hospital, Istanbul, Turkey

    Aysun Erbahçeci

  4. Department of Radiology, Antalya Education and Research Hospital, Antalya, Turkey

    Mert Köroğlu

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  1. Okan Akhan
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  2. Selçuk Akkaya
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Correspondence to Okan Akhan.

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Conflict of interest

Okan Akhan declares no conflict of interest. Selçuk Akkaya declares no conflict of interest. Merve Gülbiz Dağoğlu declares no conflict of interest. Burcu Akpınar declares no conflict of interest. Aysun Erbahçeci declares no conflict of interest. Türkmen Çiftçi declares no conflict of interest. Mert Köroğlu declares no conflict of interest. Devrim Akıncı declares no conflict of interest.

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Informed consent was obtained from all individual participants included in the study.

Statement of Human and Animal Rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Akhan, O., Akkaya, S., Dağoğlu, M.G. et al. Percutaneous Treatment of Splenic Cystic Echinococcosis: Results of 12 Cases. Cardiovasc Intervent Radiol 39, 441–446 (2016). https://doi.org/10.1007/s00270-015-1265-2

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  • DOI: https://doi.org/10.1007/s00270-015-1265-2

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