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Percutaneous treatment of hepatic hydatid cyst in pregnancy: long-term results

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Abstract

Purpose

To present the long-term results of percutaneous treatment of hepatic hydatid cyst in pregnancy.

Material and methods

Six pregnant patients (age range 19–28 years; mean age 23 years) with six hepatic hydatid cysts underwent percutaneous treatment without albendazole prophylaxis. Puncture, aspiration, injection and reaspiration (PAIR technique) were used to treat the cysts. Hypertonic saline solution was used as cytotoxic agent. Follow-up was mainly by sonography every 2 weeks during pregnancy, every third month post-partum for the first year, every 6 months for the second year, and once a year thereafter. The mean follow-up time was 57.5 months.

Results

Before the treatment, average hydatid cyst volume was 2,145 ml that was reduced to 145 ml post-treatment at the time of delivery. The first five cases of the study had solid appearance of the cyst remnant (indicating complete cure) in 22 months. Cystobiliary fistula was suspected in the sixth case three months after delivery. After confirmation of the cystobiliary fistula with cystography, a percutaneous catheter was placed into the postresidual cavity and a nasobiliary catheter was placed into the common bile duct after syphincterotomy. The fistula was closed in 2 weeks. This patient has a follow-up time of 1 year so far without any problem. No mortality, morbidity, fetal loss, abdominal dissemination, or tract seeding was observed among our cases.

Conclusion

Percutanous treatment of hydatid cysts in pregnancy is an efficient and safe procedure in cases where percutaneous treatment is indicated.

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Authors and Affiliations

  1. Department of Radiology, Faculty of Medicine, Gulhane Military Medical Academy, Etlik, 06018, Ankara, Turkey

    Bahri Ustunsoz & Mehmet Sahin Ugurel

  2. Department of Surgery, Faculty of Medicine, Gulhane Military Medical Academy, Etlik, 06018, Ankara, Turkey

    Ali Ihsan Uzar

  3. Department of Obstetric and Gynaecology, Faculty of Medicine, Gulhane Military Medical Academy, Etlik, 06018, Ankara, Turkey

    Namik Kemal Duru

Authors
  1. Bahri Ustunsoz
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  2. Mehmet Sahin Ugurel
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  3. Ali Ihsan Uzar
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  4. Namik Kemal Duru
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Correspondence to Bahri Ustunsoz.

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Ustunsoz, B., Ugurel, M.S., Uzar, A.I. et al. Percutaneous treatment of hepatic hydatid cyst in pregnancy: long-term results. Arch Gynecol Obstet 277, 547–550 (2008). https://doi.org/10.1007/s00404-007-0498-y

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  • DOI: https://doi.org/10.1007/s00404-007-0498-y

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