[Ultrasonographic guidance of percutaneous drainage as a new method of treatment of echinococcal cysts]

Med Arh. 2003;57(1):13-5.
[Article in Croatian]

Abstract

The aim of this work is to show possibilities of treating echinococcus cyst, with special emphasis on PAIR method, showing two different cases (hydatid and multilocular cyst).

Material and methods: In the period of three years in our department it has been treated 7 children who had cystic echinococcosis of different type, different localization, different number of cystic changes as well as different curing methods. Four patients were treated by PAIR method. Prior to all these patients were treated as per certain therapy scheme, conservatory by albendazole and then exposed to PAIR method.

Results: Two completely cured (Echinococcus granulosus), third(Echinococcus multilocularis) in final phase and fourth at the early beginning of cure treatment (E. granulosus). There were no complications such as febrile, rupture and possible dissemination.

Conclusion: Hydatidosis is still primarily surgical disease but open surgical procedures are rapidly losing on their importance in therapy sense, comparing with new treating methods of percutaneous aspiration under sonographic and CT guidance, with pre-medication with albendazole.

MeSH terms

  • Child
  • Cysts / diagnostic imaging
  • Cysts / therapy
  • Drainage*
  • Echinococcosis / diagnostic imaging
  • Echinococcosis / therapy*
  • Humans
  • Ultrasonography, Interventional*