A new therapeutic approach for treatment of hydatid cysts of the spleen

Ormeci N., Soykan I., Palabiyikoglu M., Idilman R., Erdem H., Bektas A., ...Daha Fazla

DIGESTIVE DISEASES AND SCIENCES, cilt.47, sa.9, ss.2037-2044, 2002 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 47 Sayı: 9
  • Basım Tarihi: 2002
  • Doi Numarası: 10.1023/a:1019672828967
  • Dergi Adı: DIGESTIVE DISEASES AND SCIENCES
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.2037-2044
  • Anahtar Kelimeler: hydatid disease, spleen, echinococcosis, cyst, percutaneous treatment, polidocanol, PERCUTANEOUS TREATMENT, SURGICAL-TREATMENT, LIVER, DISEASE, ECHINOCOCCOSIS, SCLEROTHERAPY, ALBENDAZOLE, DIAGNOSIS, ALCOHOL
  • Ankara Üniversitesi Adresli: Evet

Özet

The aims of this study were to investigate the efficacy of a new percutaneous treatment of hydatid cysts of the spleen and to present the results of long-term follow-up. Nine patients (six men, three women; median age 37 years) with 10 hydatid cysts in the spleen underwent a new percutaneous treatment. The procedure included the puncture and free drainage of the cyst fluid under sonographic guidance. After drainage has stopped, alcohol 96% and polidocanol 1% were used as sclerosing agents. The patients were followed up with periodic sonographic examinations. The median follow-up period was 39 months (range: 6-64 months). The median diameter of the cysts decreased from 63.0 mm to 33.3 mm (P < 0.01). The entire cyst cavity filled with a solid echo pattern in three cysts, two thirds of the cyst cavity showed a pseudotumor pattern in three cysts, and one third of the cyst cavity showed a pseudotumor pattern in four cysts. Apart from an urticarial reaction, no major complications occurred during the follow-up period. One patient had under-gone splenectomy due to persistent left upper quadrant pain eight months after treatment. Long-term results indicate that this new treatment modality of splenic hydatidosis is an effective and safe method and causes no major complications.