Purely cystic hydatid disease of the liver: treatment with percutaneous aspiration and injection of hypertonic saline.

Abstract

Percutaneous aspiration of purely cystic liver lesions was performed in 15 patients aged 11-56 years. After aspiration under guidance with computed tomography (CT) in 12 patients, a membrane that is diagnostic for hydatid disease was visible in the lumen of the cyst on CT scans. Hypertonic saline was injected in the cystic cavities of these patients as a scolecidal agent. No major complications occurred during or after the procedures. In the follow-up period of 6-16 months, control CT and ultrasound scans revealed a progressive decrease in the size of the lesions and no evidence of peritoneal seeding. It is concluded that percutaneous aspiration and hypertonic saline injection for purely cystic hydatid disease of the liver seem to be an effective form of treatment and may eventually prove to be an alternative to surgical intervention.

Pulmonary hydatid disease in children: outcome of surgical treatment combined with perioperative albendazole therapy

“…All parenchyma-saving operations harbor the risk of leaving viable material behind. Therefore, irrigation with a scolicidal agent to sterilize the cystic cavity is commonly employed in association with lung preserving surgical methods [1,3,14,15]. However, all scolicidal agents are potentially toxic including HS, which is among the most commonly employed scolicidal agents in the world [14].…”

“…Alternative methods to surgery like sterilization of cystic cavity by puncture-aspiration-injection-reaspiration (PAIR) has been propagated for treating hepatic hydatid cysts in a limited but increasing number of cases [15,20]. However, PAIR has not gained much popularity in pulmonary disease.…”

Percutaneous treatment of giant abdominal hydatid cysts: long-term results

“…many centers during the past decade, has proved effective for management of the disease [1,2,4,[6][7][8][9][10][11][12][13]16]. Furthermore, it has been well documented that morbidity and mortality rates, hospitalization time, and recurrence rate associated with percutaneous treatment are significantly less than those with surgery [1,2,4,[8][9][10][11][12][13]16].…”

Laparoscopic pericystectomy for liver hydatid cysts

“…Surgery remains the gold standard in terms of therapy for patients with echinococcosis despite signi®cant economic costs, hospital stay advances in medical treatment, and interventional radiology [1,24], which at this writing are described in no more than a few reports.…”