Liver hydatid disease: long-term results of percutaneous treatment.

Abstract:

PURPOSE:To evaluate the long-term effectiveness of percutaneous treatment of liver hydatid cysts. MATERIALS AND METHODS:Thirty-one patients (19 female patients and 12 male patients; age range, 8-78 years; mean age, 41 years) with 57 liver hydatid cysts underwent percutaneous treatment. The cysts were treated with hypertonic saline (15% NaCl) and/or absolute alcohol. Sonographic and/or fluoroscopic guidance was used. RESULTS:Repeated sonography revealed a gradual decrease in cyst size. Volume reduction was 18%-99% (mean, 83%). With the disappearance of the fluid component, pseudotumor appearance occurred. In all treated cases, the cyst wall became irregular and thicker during follow-up. No mortality occurred. No abdominal dissemination was encountered during follow-up. Major complications were infection of the cavity, hypersensitivity reaction, and development of biliary fistula. One cyst recurred 11 months after primary drainage. CONCLUSION:Long-term results indicate that percutaneous treatment of liver hydatid cysts is an effective and safe method in selected cases.

journal_name

Radiology

journal_title

Radiology

authors

Akhan O,Ozmen MN,Dinçer A,Sayek I,Göçmen A

doi

10.1148/radiology.198.1.8539390

subject

Has Abstract

pub_date

1996-01-01 00:00:00

pages

259-64

issue

1

eissn

0033-8419

issn

1527-1315

journal_volume

198

pub_type

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