Abstract
A new method called PAIR (Puncture-Aspiration of cyst contents—Injection of hypertonic saline solution—Reaspiration) was used as a percutaneous treatment of hydatid cysts. In 37 patients, 120 cysts were punctured. All patients had not been considered surgical candidates. The cysts were localized in the liver, peritoneum, spleen, kidneys, muscles, and bones. In 70% of patients, good results were obtained. Recurrence occurred in 5 of 120 cysts, all at the beginning of our experience when a low concentration of sodium chloride solution was injected. Moderate allergic reactions occurred during seven cyst aspirations. No anaphylactic shock, sudden deaths or dissemination of cyst contents were observed.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Kilani M, Darghouth MA, Lahmar S, Jaoua H, Jemli MH (1986) Role du chien dans l'épidémiologie du kyste hydatique en Tunisie. La Tunisie Médicale 64:333–337
Department des Statistiques (1987) Ministère Tunisien de l'Agriculture, Division vétérinaire, Bulletin Annuel 1988. 96–107
Gharbi HA, Ben Chehida F, Hammou-Jeddi A, Abdelmoula B, Ben Abdallah M, Daoues A (1986) Epidémiologie du kyste hydatique en Tunisie: Apport de l'échographie—A propos de 9112 sujets explorés. La Tunisie Médicale 64:313–320
MacPherson CNL, Romig T, Zeyhle E, Rees PH, Were JBO (1987) Portable ultrasound scanner versus serology in screening for hydatid cysts in nomadic population. Lancet 1:259–261
Roux P, Ben Said M, Poirot JL, Golvan YJ, Ben Rachid MS, Ben Chehida F, Gharbi HA (1986) Epidémiologie du kyste hydatique en Tunisie II: Résultat de l'enquéte sérologique dans la région de Kasserine—Comparaison avec l'échotomographie abdominale. Méd Mal Infect 11:582–586
Davis A, Pawlowski ZS, Dixon H (1986) Multicentre clinical trials of benzimidazolecarbamates in human echinococcosis. Bull WHO 64(3):383–388
Saimot AG (1984) Traitement médical de l'échinococcose humaine: État actuel. Gastroenterol Clin Biol 8:305–307
Ben Amor N, Gargouri M, Gharbi HA, Ghorbel A, Golvan YJ, Hammou-Jeddi A, Kilani M, Lahmar S (1986) Traitement dukyste hydatique du foie du mouton par ponction sous échographie. Tunisie Médicale 64(4):325–331
Ben Amor N, Gargouri M, Gharbi HA, Golvan YJ, Ayachi K, Kchouk KH (1986) Essai de traitement par ponction des kystes hydatiques abdominaux inopérables. Ann Parasitol Hum Comp 61(6):689–692
Ahari H (1986) L'emploi de cétrémide dans la chirurgie des kystes hydatiques. Bulletin de la société de pathologie exotique. 10:540–542
Dumon H, Gambarelli F, Doumbo O, Quilici M (1986) Etude expérimetale de l'éfficacité des différentes solutions scolicides utilisées en chirurgie hydatique. Méd Mal Infect 10:540–542
Bekhti A, Nizet M (1986) Radiological changes under effect of Mebendazole on universicular hydatid cysts in the liver and lung. Eur J Radiol 6:156–159
Bezzi M, Teggi A, De Rosa F, Capozzi A, Tucci G, Bonifacino A, Angelini L (1987) Abdominal hydatid disease: US findings during medical treatment. Radiology 162:91–95.
Morris DL, Dykes PW, Marriner S (1985) Albendazole: Objective evidence of responsè in human hydatid disease. JAMA 253:2053–2057
Girault F (1985) Incidences anasthésiques des agents utilisés pour la stérilisation des kystes hydatiques. Thése. Faculté de Médecine Saint Antoine. Paris. pp 14–17
Kandil S, Boubekeur M, Tbouagh BS. Dahmache H (1986) Traitement par ponction vidange transparietale du kyste hydatique pulmonaire à localisation périphérique. Chirurgie 112:255–260
Farrely C, Lawrig BW (1982) Diagnosis of intrabiliary rupture of hydatic cyst of the liver by fine needle percutaneous trans-hepatic cholangiography. Br J Radiol 55:372–374
Schiller CF (1966) Complication of echinococcus cyst rupture. A study of 30 cases. JAMA 195:220–222
Bret MP, Fond A, Bretagnolle M, Valette PJ, Thiesse PH, Lambert R, Ladadie M (1988) Percutaneous aspiration and drainage of hydatid cysts in the liver. Radiology 168:617–620
McCorkell SJ (1984) Unintended percutaneous aspiration of pulmonary echinococcal cysts. Am J Roentgenol 143:123–126
Ertain A, Sahin B, Kan Dilci U, Acikalin T, Cumhur T, Daniso Glu V (1983) The mechanism of cholestasis from hepatic hydatid cysts. J Clin Gastroenterol 5:437–440
Mueller PR, Dawson SL, Ferruci JT, Nardi GL (1985) Hepatic echinococcal cyst: Successful percutaneous drainage. Radiology 155:627–628
Perricone R, Fontana L, Decarolis C, Ottaviana P (1980) Activation of alternative complement pathway by fluid from hydatid cyst. N Engl J Med 302:808–809
Schantz PM, Van den Bossche H, Eckert J (1982) Chemotherapy for larvel echinococcus in animals and humans. Report of a Workshop. Zeitschrift fur parasitenkunde 67:5–26
Webbe G (1986) Medical treatment of human hydatidosis. Med Chir Dig 15:41–42
Filice C (1990) Can P.A.I.R. (Punction, Aspiration, Injection, Reaspiration) be a new diagnostic and therapeutical approach in human cystic hydatid disease (CHD)? Méd Chirurgie Dig (in press)
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Gargouri, M., Ben Amor, N., Ben Chehida, F. et al. Percutaneous treatment of hydatid cysts (Echinococcus Granulosus). Cardiovasc Intervent Radiol 13, 169–173 (1990). https://doi.org/10.1007/BF02575469
Issue Date:
DOI: https://doi.org/10.1007/BF02575469