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Pediatric Radiology

Published in:

01-07-2011 | Original Article

Hydatid cysts of the liver in children: percutaneous treatment with ultrasound follow-up

Authors: Guven Kahriman, Nevzat Ozcan, Halil Donmez

Published in: Pediatric Radiology | Issue 7/2011

Abstract

Background

Hydatid disease is a serious public health problem in endemic areas. Percutaneous treatment is an effective alternative to surgical and medical therapy in hydatid liver disease (HLD).

Objective

To present clinical and radiological results of percutaneous treatment of HLD in children.

Materials and methods

Twenty-five children (16 males; age range, 5–15 years; mean age, 9.6 years) with a total of 30 hydatid cysts of the liver underwent ultrasound US guided percutaneous treatment using hypertonic saline as the scolicidal agent.

Results

The percutaneous procedure was successful in all patients. All children were asymptomatic at follow-up. A hypersensitivity reaction occurred in one child (4%) during the procedure. No other complications occurred. The reduction in cyst volume was 14–100% (mean, 64%) at follow-up (mean 13.8 months). On US at follow-up, the treated cysts were semisolid with a heterogeneous echo pattern (n = 17), solid hypoechoic (n = 10) or solid with calcification (n = 2). One treated cyst disappeared sonographically.

Conclusion

Percutaneous treatment of HLD is effective, safe and well-tolerated in children.

Akbulut S, Senol A, Sezgin A et al (2010) Radical vs conservative surgery for hydatid liver cysts: experience from single center. World J Gastroenterol 16:953–959PubMedCrossRef

Topcu O, Sumer Z, Tuncer E et al (2009) Efficacy of chlorhexidine gluconate during surgery for hydatid cyst. World J Surg 33:1274–1280PubMedCrossRef

Moro P, Schantz PM (2009) Echinococcosis: a review. Int J Infect Dis 13:125–133PubMedCrossRef

Puliga A, Sulis R, Pala M et al (2003) Surgical treatment of hydatid liver cysts: 20 more years of experience. Chir Ital 55:533–540PubMed

Men S, Hekimoğlu B, Yücesoy C et al (1999) Percutaneous treatment of hepatic hydatid cysts: an alternative to surgery. AJR 172:83–89PubMed

Ustünsöz B, Akhan O, Kamiloğlu MA et al (1999) Percutaneous treatment of hydatid cysts of the liver: long-term results. AJR 172:91–96PubMed

Akhan O, Ozmen MN, Dinçer A et al (1996) Liver hydatid disease: long-term results of percutaneous treatment. Radiology 198:259–264PubMed

Akhan O, Ozmen MN (1999) Percutaneous treatment of liver hydatid cysts. Eur J Radiol 32:76–85PubMedCrossRef

Todorov T, Vutova K, Mechkov G et al (1990) Evaluation of response to chemotherapy of human cystic echinococcosis. Br J Radiol 63:523–531PubMedCrossRef

10.

Khuroo MS, Dar MY, Yattoo GN et al (1993) Percutaneous drainage versus albendazole therapy in hepatic hydatidosis: a prospective, randomized study. Gastroenterology 104:1452–1459PubMed

11.

Kapan S, Turhan AN, Kalayci MU et al (2008) Albendazole is not effective for primary treatment of hepatic hydatid cysts. J Gastrointest Surg 12:867–871PubMedCrossRef

12.

Kayaalp C, Bzeizi K, Demirbag AE et al (2002) Biliary complications after hydatid liver surgery: incidence and risk factors. J Gastrointest Surg 6:706–712PubMedCrossRef

13.

Giorgio A, Di Sarno A, de Stefano G et al (2009) Percutaneous treatment of hydatid liver cyst. Recent Pat Antiinfect Drug Discov 4:29–36PubMedCrossRef

14.

Gharbi HA, Hassine W, Brauner MW et al (1981) Ultrasound examination of the hydatic liver. Radiology 139:459–463PubMed

15.

Harris KM, Morris DL, Tudor R et al (1986) Clinical and radiographic features of simple and hydatid cysts of the liver. Br J Surg 73:835–838PubMedCrossRef

16.

Kabaalioğlu A, Karaali K, Apaydin A et al (2000) Ultrasound-guided percutaneous sclerotherapy of hydatid liver cysts in children. Pediatr Surg Int 16:346–350PubMedCrossRef

17.

Beyrouti MI, Beyrouti R, Abbes I et al (2004) Acute rupture of hydatid cysts in the peritoneum: 17 cases. Presse Méd 33:378–384PubMedCrossRef

18.

Kabaalioğlu A, Ceken K, Alimoglu E et al (2006) Percutaneous imaging-guided treatment of hydatid liver cysts: do long-term results make it a first choice? Eur J Radiol 59:65–73PubMedCrossRef

19.

Kapan M, Kapan S, Goksoy E et al (2006) Postoperative recurrence in hepatic hydatid disease. J Gastrointest Surg 10:734–739PubMedCrossRef

20.

Langer JC, Rose DB, Keystone JS et al (1984) Diagnosis and management of hydatid disease of the liver. A 15-year North American experience. Ann Surg 199:412–417PubMedCrossRef

21.

Demirci S, Eraslan S, Anadol E et al (1989) Comparison of the results of different surgical techniques in the management of hydatid cysts of the liver. World J Surg 13:88–90PubMedCrossRef

22.

Kalovidouris A, Gouliamos A, Demou L et al (1984) Postsurgical evaluation of hydatid disease with CT: diagnostic pitfalls. J Comput Assist Tomogr 8:1114–1119PubMedCrossRef

23.

Mueller PR, Dawson SL, Ferrucci JT Jr et al (1985) Hepatic echinococcal cyst: successful percutaneous drainage. Radiology 155:627–628PubMed

24.

Goktay AY, Secil M, Gulcu A et al (2005) Percutaneous treatment of hydatid liver cysts in children as a primary treatment: long-term results. J Vasc Interv Radiol 16:831–839PubMed

25.

Dilsiz A, Açikgözoğlu S, Günel E et al (1997) Ultrasound-guided percutaneous drainage in the treatment of children with hepatic hydatid disease. Pediatr Radiol 27:230–233PubMedCrossRef

Title: Hydatid cysts of the liver in children: percutaneous treatment with ultrasound follow-up
Authors: Guven Kahriman
Nevzat Ozcan
Halil Donmez
Publication date: 01-07-2011
Publisher: Springer-Verlag
Published in: Pediatric Radiology / Issue 7/2011
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI: https://doi.org/10.1007/s00247-011-2088-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Hydatid cysts of the liver in children: percutaneous treatment with ultrasound follow-up

Abstract

Background

Objective

Materials and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Objective

Materials and methods

Results

Conclusion

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