Abstract
The treatment of hydatidosis traditionally consisted of surgery with a perioperative course of anthelmintic medications. However, percutaneous aspiration, injection, and reaspiration (PAIR) combined with oral albendazole has been recently shown to be as effective as surgery in the treatment of liver hydatidosis. We report a 20-year-old female immigrant from Western Europe who presented with discomfort in her upper abdomen. Computed tomography revealed a 5.7 × 7 × 5.9-cm cyst in segment 7 of the liver and a 17 × 15-cm cyst in the spleen in contiguity with the hilar vessels. Indirect hemaglutination test confirmed hydatidosis. A strategy with two different surgical approaches was designed to treat her condition: laparoscopic splenectomy and ultrasound-guided PAIR of the liver cyst. The patient was discharged on postoperative day 5, and at 18 months follow-up, she is free of symptoms.
Similar content being viewed by others
References
Chrieki M. Echinococcosis—an emerging parasite in the immigrant population. Am Fam Phys 2002;66:817–820.
Ballaux K, Himpens J, Leman G, et al. Hand-assisted laparoscopic splenectomy for hydatid cyst. Surg Endosc 1997;11:942–943.
Franquet T, Cozcolluela R, Montes M, Sanchez J. Abscessed splenic hydatid cyst: sonographic and CT findings. Clin Imaging 1991;15:118–120.
Hansen M, Moller A. Splenic cysts. Surg Laparosc Endosc Percutan Tech 2004;14:316–322.
Atmatzidis K, Papaziogas B, Mirelis C, et al. Splenectomy versus spleen-preserving surgery for splenic echinococcosis. Dig Surg 2003;20:527–531.
Durgan V, Kapan S, Kapan M, et al. Primary splenic hydatidosis. Dig Surg 2003;20:38–41.
Gharaibeh K. Laparoscopic excision of splenic hydatid cyst. Postgrad Med J 2001;7:95–196.
Chowbey P, Shah S, Khullar R, et al. Minimal access surgery for hydatid cysts disease: laparoscopic, thoracoscopic, and retroperitoneoscopic approach. J Laparoendosc Adv Surg Tech Part A 2003;13:159–165.
Battyany I, Herbert Z, Rostas T, et al. Successful percutaneous drainage of giant hydatid cyst in the liver. World J Gastroenterol 2006;2:12–814.
Khuroo M, Wani N, Javid G, et al. Percutaneous drainage compared with surgery for hepatic hydatid cysts. N Engl J Med 1997;337:881–887.
Dziri C, Haouet K, Fingerhut A. Treatment of hydatid cyst of the liver: where is the evidence? World J Surg 2004;28:731–736.
Smego R, Bhatti S, Khaliq A, et al. Percutaneous aspiration–injection–reaspiration drainage plus abendazole or mebendazole for hepatic cystic echinococcosis: A meta-analysis. Clin Infect Dis 2003;37:1073–1083.
Nasseri Moghaddam S, Abrishami A, Malekzadeh R. Percutaneous needle aspiration, injection and reaspiration with or without benzimidazole coverage for uncomplicated hepatic hydatid cysts. Cochrane Database Syst Rev 2006;2:CD003623.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Marco Fisichella, P., Donaldson, K. & Scott Helton, W. Hepatic and Splenic Hydatidosis Managed with Percutaneous Aspiration, Injection, and Reaspiration (PAIR) of the Hepatic Cyst and Laparoscopic Splenectomy. J Gastrointest Surg 12, 1615–1617 (2008). https://doi.org/10.1007/s11605-007-0419-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11605-007-0419-1