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Pediatric Surgery International

, Volume 16, Issue 5–6, pp 346–350 | Cite as

Ultrasound-guided percutaneous sclerotherapy of hydatid liver cysts in children

  • Adnan Kabaaliogˇlu
  • Kamil Karaali
  • Ali Apaydin
  • Mustafa Melikogˇlu
  • Timur Sindel
  • Ersin Lüleci
ORIGINAL ARTICLE

Abstract

To evaluate the efficacy of ultrasound (US) guided percutaneous sclerotherapy in the pediatric population, 14 hydatid liver cysts (HLC) in eight male patients whose ages ranged between 6 and 16 years (mean 9.9 years) were treated. The maximum diameter was 110 mm. Albendazole was administered orally to all patients for 1 week before percutaneous treatment and for 3–6 months after the procedure to prevent dissemination of the disease. Cyst puncture was performed with 20 G Chiba needles using US guidance. More than one-half of the estimated cyst volume was aspirated, then 20% hypertonic saline (7 cysts) or sterile 96% alcohol (7 cysts) equivalent to one-third of the estimated cyst volume was injected into the cavity and left for 5–15 min. Finally, all the fluid in the cavity was reaspirated. Catheterization was not performed. Follow-up US examinations were performed every month during the first 6 months and every 3 months thereafter. The follow-up period ranged between 6 and 51 months (mean 15 months). No major complications were seen during or after the procedures. Two cysts in two patients completely disappeared. Volumes of the 11 cysts in five patients who were followed for 6–21 months were markedly reduced (22%–64% of the initial volume) and thick septations and solid debris-like structures were seen within the cyst cavities. There was no significant change in 1 cyst. US-guided percutaneous sclerotherapy is thus a safe and effective treatment of HLC in children.

Key words Echinococcosis Liver/interventional procedure Cyst/percutaneous drainage Children 

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Copyright information

© Springer-Verlag Berlin Heidelberg 2000

Authors and Affiliations

  • Adnan Kabaaliogˇlu
    • 1
  • Kamil Karaali
    • 1
  • Ali Apaydin
    • 1
  • Mustafa Melikogˇlu
    • 2
  • Timur Sindel
    • 1
  • Ersin Lüleci
    • 1
  1. 1.Department of Radiology, Akdeniz Universitesi Tip Fakültesi, Radyoloji ABD, Arapsuyu 07070, Antalya, TurkeyTR
  2. 2.Department of Pediatric Surgery, Akdeniz Universitesi Tip Fakültesi, Arapsuyu 07070, Antalya, TurkeyTR

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