Abstract
Nine patients (five males, four females) with 14 hydatid cysts were treated with albendazole and percutaneous drainage under sonographic guidance. All but two cysts were hepatic. The average cyst diameter was 81.5 mm (range: 42–180 mm). There were eight type 1 cysts, two type 2, three type 3, and a single type 4. Type 1 and 2 cysts were treated by needle aspiration, type 3 and 4 by needle decompression and catheter drainage. The residual cavity was irrigated with 30% hypertonic saline and injected with absolute alcohol. Biliary fistulization contraindicated alcohol use. All cysts were successfully treated. A single episode of reversible anaphylaxis was encountered. Serial sonographic examinations revealed residual cavities ranging from 10 to 35 mm in diameter. No new cysts were noted during an average follow-up of 9.6 months. The mean hospital stay was 48 hr. Percutaneous drainage of hydatid cysts is a relatively safe and cost-effective procedure.
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Ekrami Y: Surgical treatment of hydatid disease of the liver. Arch Surg 111:1350–1352, 1976
Little JM, Hollands MJ, Ekberg H: Recurrence of hydatid disease. World J Surg 12:700–704, 1988
Muller PR, Dawson SL, Ferrucci J: Hepatic echinococcal cyst, successful percutaneous drainage. Radiology 155:627–628, 1985
Ben Amor N, Gargouri M, Gharbi HA, et al: Traitement du kyste hydatique du foie de mouton par ponction sous echographie. Tunis Med 64:325–331, 1986
Bret MP, Fond A, Bretagnolle M, et al: Percutaneous aspiration and drainage of hydatid cyst of the liver. Radiology 168:617–620, 1983
Gargouri M, Ben Amor N, Ben Chedida F, et al: Percutaneous treatment of hydatid cysts. Cardiovasc Intervent Radiol 13:169–173, 1990
Filice C, Diperri G, Strosselli M, et al: Parasitologic findings in percutaneous drainage of human hydatid liver cyst. J Infect Dis 161:1290–1295, 1990
Khuroo MS, Zargar SA, Mahajan R:Echinococcus granulosus cysts in the liver: Management with percutaneous drainage. Radiology 180:141–145, 1991
Gharbi HA, Hassine W, Brauner MW, Dupuch K: Ultrasound examination of the hydatid liver. Radiology 139:459–463, 1981
Lewis JW, Koss N, Kerstein MD: A review of ecchinococcal disease. Ann Surg 181:390–396, 1975
Balasegaram M, Kong LF: Surgical treatment of hydatid disease of the liver. Trop Gastroenterol 3:194–200, 1982
El Mufti M: The simple hydatid cyst.In Surgical Management of Hydatid Disease, 1st ed. London, Butterworths, 1989, pp 31–107
Saimot AG, Meulemans A, Cremieux AC, et al: Albendazole as a potential treatment for human hydatidosis. Lancet 2:652–656, 1983
Bezzi M, Teggi A, De Rosa FD, et al: Abdominal hydatid disease. US findings during medical treatment. Radiology 162:91–95, 1987
Khuroo MS, Yousuf DA, Yattoo GN, et al: Percutaneous drainage versus albendazole in hepatic hydatitosis: A prospective randomized study. Gastroenterology 104:1452–1459, 1993
Filice C, Pirola F, Brunetti E, et al: A new therapeutic approach for hydatid liver cyst: Aspiration and alcohol injection under sonographic guidance. Gastroenterology 98:1366–1368, 1990
Chipponi J, Huguet M: Les kystes hydatiques du foie operes en France: Epidemiologie, attitude diagnostique et therapeutique. Etude de 306 cas. Gastroenterol Clin Biol 10:419–423, 1986
Karawi MA, Hanid MA: Endoscopic removal of daughter ecchinococal cyst from the common bile duct. Hepatogastroenterology 32:296–298, 1985
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Bastid, C., Azar, C., Doyer, M. et al. Percutaneous treatment of hydatid cysts under sonographic guidance. Digest Dis Sci 39, 1576–1580 (1994). https://doi.org/10.1007/BF02088067
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DOI: https://doi.org/10.1007/BF02088067