Digestive Diseases and Sciences

, Volume 39, Issue 7, pp 1576–1580 | Cite as

Percutaneous treatment of hydatid cysts under sonographic guidance

  • Christophe Bastid
  • Camille Azar
  • Michel Doyer
  • Jose Sahel
Original Articles


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.

Key words

sonography hydatid cyst treatment ethanol 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Ekrami Y: Surgical treatment of hydatid disease of the liver. Arch Surg 111:1350–1352, 1976Google Scholar
  2. 2.
    Little JM, Hollands MJ, Ekberg H: Recurrence of hydatid disease. World J Surg 12:700–704, 1988Google Scholar
  3. 3.
    Muller PR, Dawson SL, Ferrucci J: Hepatic echinococcal cyst, successful percutaneous drainage. Radiology 155:627–628, 1985Google Scholar
  4. 4.
    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, 1986Google Scholar
  5. 5.
    Bret MP, Fond A, Bretagnolle M, et al: Percutaneous aspiration and drainage of hydatid cyst of the liver. Radiology 168:617–620, 1983Google Scholar
  6. 6.
    Gargouri M, Ben Amor N, Ben Chedida F, et al: Percutaneous treatment of hydatid cysts. Cardiovasc Intervent Radiol 13:169–173, 1990Google Scholar
  7. 7.
    Filice C, Diperri G, Strosselli M, et al: Parasitologic findings in percutaneous drainage of human hydatid liver cyst. J Infect Dis 161:1290–1295, 1990Google Scholar
  8. 8.
    Khuroo MS, Zargar SA, Mahajan R:Echinococcus granulosus cysts in the liver: Management with percutaneous drainage. Radiology 180:141–145, 1991Google Scholar
  9. 9.
    Gharbi HA, Hassine W, Brauner MW, Dupuch K: Ultrasound examination of the hydatid liver. Radiology 139:459–463, 1981Google Scholar
  10. 10.
    Lewis JW, Koss N, Kerstein MD: A review of ecchinococcal disease. Ann Surg 181:390–396, 1975Google Scholar
  11. 11.
    Balasegaram M, Kong LF: Surgical treatment of hydatid disease of the liver. Trop Gastroenterol 3:194–200, 1982Google Scholar
  12. 12.
    El Mufti M: The simple hydatid cyst.In Surgical Management of Hydatid Disease, 1st ed. London, Butterworths, 1989, pp 31–107Google Scholar
  13. 13.
    Saimot AG, Meulemans A, Cremieux AC, et al: Albendazole as a potential treatment for human hydatidosis. Lancet 2:652–656, 1983Google Scholar
  14. 14.
    Bezzi M, Teggi A, De Rosa FD, et al: Abdominal hydatid disease. US findings during medical treatment. Radiology 162:91–95, 1987Google Scholar
  15. 15.
    Khuroo MS, Yousuf DA, Yattoo GN, et al: Percutaneous drainage versus albendazole in hepatic hydatitosis: A prospective randomized study. Gastroenterology 104:1452–1459, 1993Google Scholar
  16. 16.
    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, 1990Google Scholar
  17. 17.
    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, 1986Google Scholar
  18. 18.
    Karawi MA, Hanid MA: Endoscopic removal of daughter ecchinococal cyst from the common bile duct. Hepatogastroenterology 32:296–298, 1985Google Scholar

Copyright information

© Plenum Publishing Corporation 1994

Authors and Affiliations

  • Christophe Bastid
    • 1
  • Camille Azar
    • 1
  • Michel Doyer
    • 1
  • Jose Sahel
    • 1
  1. 1.From the Service d'hepato-gastroenterologieHospital Sainte-MargueriteMarseilleFrance

Personalised recommendations