Hepatic echinococcal cyst: successful percutaneous drainage.

Abstract

Percutaneous needle aspiration of hydatid cysts has long been discouraged because of potential complications, such as anaphylactic shock and the spread of daughter cysts. We used this procedure with successful results, however, in the treatment of a woman with a recurrent hepatic hydatid cyst. The cyst was drained percutaneously using radiologic imaging guidance and then lavaged through a catheter using silver nitrate and hypertonic saline solutions. One year after drainage, all liver function test results remain normal. Although surgical drainage is normally the treatment of choice for hepatic Echinococcus disease, percutaneous catheter drainage may be an alternative therapy for patients who cannot undergo surgery.

RETRACTED: Management of liver hydatid cysts – Current perspectives

“…23 The first percutaneous treatment used was to puncture the cyst, aspirate cyst fluid, inject a scolicidal agent (e.g., hypertonic saline, 95% ethanol, albendazole or betadine), and re-aspirate the cyst content (PAIR). 24 Khuroo and others found PAIR under ultrasonography or tomograph guidance, combined with periinterventional benzimidazole derivatives to be as effective as open surgical drainage with fewer complications and less cost.…”

A comparison of imaging guided double percutaneous aspiration injection and surgery in the treatment of cystic echinococcosis of liver

“…27 Despite all three modalities of treatment being concurrently available for almost 30 years, optimal treatment for CE is yet to be fully determined. A recent study from World Health Organization Informal Working Group on Echinococcosis, which graded the quality of evidence and strength of recommendation for various modalities in treatment of CE, gave all three of the above modalities as well as the Wait and Watch approach a strength of recommendation of B and Quality of Evidence of III, implying the paucity of evidence from well-designed trials to arrive at a consensus on the optimal treatment.…”

An unusual cause of circulatory disorder due to a rare intermuscular hydatid cyst of cruris: A case report

“…For muscular HC treatment, en bloc resection is recommended before the rupture and spread of daughter cysts [3,5] . The puncture-aspiration-injectionre-aspiration (PAIR) technique, which was developed as an alternative to surgical excision of liver HC, involves the removal of the contents of HC by means of USG, injection of scolecidal agents, such as 95% ethanol, and re-aspiration of the cyst contents [26,27] .The use of percutaneous drainage with or without re-aspiration (PAIR) in HC treatment was indicated, in particular, for cases which are inoperable or for patients who rejected surgery [6,7,28,29] . Albendazole treatment is recommended to prevent contamination by needle aspiration [6] .…”