CardioVascular and Interventional Radiology

, Volume 30, Issue 3, pp 419–425 | Cite as

Diagnosis and Percutaneous Treatment of Soft-Tissue Hydatid Cysts

  • Okan Akhan
  • Burcak Gumus
  • Devrim Akinci
  • Musturay Karcaaltincaba
  • Mustafa Ozmen


The purpose of this study is to demonstrate and discuss the radiological features of four patients with muscular hydatid disease and to evaluate the results of percutaneous treatment in these patients. Four patients (three female and one male) with six muscular hydatid cysts underwent percutaneous treatment and were followed up. The mean age of patients was 35 years (range: 12–60 years). Type I (n = 2), type II (n = 1), and type III (n = 3) hydatid cysts were observed in the thigh (n = 3) and gluteal (n = 1) region on radiologic examination. All interventions were performed under sonographic and fluoroscopic guidance. According to the type of the cyst, the procedure was carried out by either a “catheterization technique with hypertonic saline and alcohol” or a “modified catheterization technique.” The mean cathaterization time was 13.7 days, ranging from 1 to 54 days. The dimensions of the residual cavity were noted at every sonographic control, and an average of 96.1% volume reduction was obtained in six cysts of four patients. No sign of viability was observed during the follow-up period. Cavity infection and cellulitis were observed as complications, which resolved after medical therapy. Percutaneous treatment is a safe and effective procedure in patients with soft-tissue hydatid cysts and should be considered as a serious alternative to surgery.


Hydatid cyst Soft tissue Percutaneous treatment 


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Copyright information

© Springer Science+Business Media, Inc. 2007

Authors and Affiliations

  • Okan Akhan
    • 1
    • 2
  • Burcak Gumus
    • 1
  • Devrim Akinci
    • 1
  • Musturay Karcaaltincaba
    • 1
  • Mustafa Ozmen
    • 1
  1. 1.Department of RadiologyHacettepe University School of MedicineAnkaraTurkey
  2. 2.Department of RadiologyBayindir Hospital, SogutozuAnkaraTurkey

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