A New Therapeutic Approach for Hydatid Liver Cysts: Percutaneous Drainage and Alcohol Injection under Sonographic Guidance

Fourteen patients with benign symptomatic non-parasitic cysts of the liver were either surgically treated, had alcohol injected into the cysts, underwent deroofing of the cyst or in 5, a cystectomy was done. Alcohol was injected into 6 patients and there has been no recurrence for as long as 5 years and 8 months after the treatment. Liver dysfunction occurred in 3 patients given blood transfusion during the surgery and/or postoperative course, an elevated temperature (over 39℃) occurred in one patient. Adverse effects of alcohol injections were minor and transient. Based on our experience, the injection of alcohol is an effective treatment for benign symptomatic cyst of the liver. When a malignancy is suspected on imaging and/or cytologic studies, or when alcohol administration is ineffective, then surgery is indicated.

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Late Onset Anaphylaxis in a Hydatid Cyst Case Presenting with Chronic Urticaria

Case Reports in Medicine ◽

10.1155/2013/658393 ◽

2013 ◽

Vol 2013 ◽

pp. 1-3 ◽

Cited By ~ 2

Author(s):

Insu Yilmaz ◽

Omur Aydin ◽

Alexis Okoh ◽

Zeynep Misirligil

Keyword(s):

Hydatid Cyst ◽

Anaphylactic Reaction ◽

Chronic Urticaria ◽

Percutaneous Drainage ◽

Late Onset ◽

Percutaneous Treatment ◽

Chronic Spontaneous Urticaria ◽

Percutaneous Aspiration ◽

Liver Cysts ◽

The World

Hydatid cyst is still endemic in various regions of the world. It is the most frequent cause of liver cysts worldwide. Urticaria is sometimes the first manifestation of the disease. However anaphylactic reaction and urticaria have been very rarely reported in the literature. Traditionally, surgery has been the only accepted mode of treatment; however, percutaneous treatment has recently been proposed as an alternative. Cases of anaphylaxis have been reported after percutaneous drainage of hydatid cyst. However, anaphylaxis usually develops within a few hours. Herein, we describe the case of a patient who presented with hydatid cyst causing chronic urticaria and late anaphylactic reaction following percutaneous aspiration of a liver hydatid cyst. We emphasize that physicians should be aware of hydatid cyst as a possible etiology for seemingly chronic spontaneous urticaria, especially in endemic regions. Patients should be kept under observation for at least one day due to the risk of early and late anaphylaxis after percutaneous aspiration treatment.

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Transanal Drainage of Coloanal Anastomotic Leaks

Case Reports in Surgery ◽

10.1155/2018/9806259 ◽

2018 ◽

Vol 2018 ◽

pp. 1-3

Author(s):

Bradley Sherman ◽

Mark Arnold ◽

Syed Husain

Keyword(s):

Percutaneous Drainage ◽

Therapeutic Approach ◽

Fecal Diversion ◽

Operative Intervention ◽

Anastomotic Leaks ◽

Catheter Drainage ◽

Generalized Peritonitis

The conventional operative intervention for leaks following coloanal anastomoses has been proximal fecal diversion with or without take-down of anastomosis. A few of these cases are also amenable to percutaneous drainage. Ostomies created in this situation are often permanent, specifically in cases where coloanal anastomoses are taken down at the time of reoperation. We present two patients who developed perianastomotic pelvic abscesses that were treated with transanal large bore catheter drainage resulting in successful salvage of coloanal anastomoses without the need for a laparotomy or ostomy creation. We propose this to be an effective therapeutic approach to leaks involving low coloanal anastomoses in the absence of generalized peritonitis.

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The diagnostic and therapeutic approach for the congenital solitary liver cysts

Turkish Association of Pediatric Surgeons ◽

10.5222/jtaps.2012.037 ◽

2012 ◽

pp. 37-43

Author(s):

Şule Yalçın ◽

İbrahim Karnak ◽

Saniye Ekinci ◽

Mehmet Emin Şenocak ◽

Arbay Özden Çiftçi ◽

...

Keyword(s):

Therapeutic Approach ◽

Liver Cysts ◽

Solitary Liver

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Percutaneous drainage of hydatid liver cysts.

Radiology ◽

10.1148/radiology.184.2.1620870 ◽

1992 ◽

Vol 184 (2) ◽

pp. 579-580 ◽

Cited By ~ 9

Author(s):

C Filice ◽

M Strosselli ◽

E Brunetti ◽

P Colombo ◽

F D'Andrea

Keyword(s):

Percutaneous Drainage ◽

Liver Cysts

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Parasitologic Findings in Percutaneous Drainage of Human Hydatid Liver Cysts

The Journal of Infectious Diseases ◽

10.1093/infdis/161.6.1290 ◽

1990 ◽

Vol 161 (6) ◽

pp. 1290-1295 ◽

Cited By ~ 29

Author(s):

C. Filice ◽

G. Di Perri ◽

M. Strosselli ◽

F. Pirola ◽

E. Brunetti ◽

...

Keyword(s):

Percutaneous Drainage ◽

Liver Cysts

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Unilocular hydatid liver cysts: treatment with US-guided, double percutaneous aspiration and alcohol injection.

Radiology ◽

10.1148/radiology.184.3.1509053 ◽

1992 ◽

Vol 184 (3) ◽

pp. 705-710 ◽

Cited By ~ 49

Author(s):

A Giorgio ◽

L Tarantino ◽

G Francica ◽

N Mariniello ◽

T Aloisio ◽

...

Keyword(s):

Percutaneous Aspiration ◽

Alcohol Injection ◽

Liver Cysts

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Treatment of a giant hepatic echinococcal cyst with percutaneous drainage and in vivo assessment of the protoscolicidal effect of praziquantel

Clinical Journal of Gastroenterology ◽

10.1007/s12328-021-01397-4 ◽

2021 ◽

Author(s):

Joachim Richter ◽

Andreas Karl Lindner ◽

Dominik Geisel ◽

Giovanni Federico Torsello ◽

Gabriela Equihua Martinez ◽

...

Keyword(s):

Minimally Invasive ◽

Percutaneous Drainage ◽

Liver Cyst ◽

Percutaneous Aspiration ◽

Liver Cysts ◽

Secondary Spread ◽

Echinococcal Cyst ◽

Cyst Cavity ◽

In Vivo Assessment

AbstractTherapy choices for cystic echinococcisis (CE) are stage-specific: surgical, minimally invasive, medical or observation without intervention. PAIR (percutaneous aspiration, instillation of a scolicide, and re-aspiration) has been considered the treatment of choice for uncomplicated echinococcal liver cysts. However, PAIR carries the risk of toxic cholangitis or hypernatremia and that the cyst frequently refills with bile after withdrawing the catheter. We treated a patient with a giant CE 1 liver cyst with puncture drainage (PD) under albendazole coverage. Drainage enabled us to monitor the morphology of protoscolices under praziquantel (PZQ) co-medication. Protoscolices degenerated within 5 days of PZQ 50 mg/kg/d. The cyst cavity solidified with no evidence of reactivation or secondary spread. Percutaneous treatments can replace surgery in a significant number or cases with hepatic CE. PD allows to assess microscopically the viability of protoscolices under co-medication with PZQ–albendazole and to avoid the instillation of topical scolicides.

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