CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2012; 22(01): 23-26
DOI: 10.4103/0971-3026.95399
Interventional Radiology

Case report: Percutaneous treatment of multiple honeycomb-like liver hydatid cysts (type III CE2, according to WHO classification)

Mario Corona
Department of Radiology, Vascular and Interventional Radiology Unit, "Sapienza" University of Rome, Rome, Italy
,
Alessandro Cannavale
Department of Radiology, Vascular and Interventional Radiology Unit, "Sapienza" University of Rome, Rome, Italy
,
Antonio Bruni
Department of Radiology, Vascular and Interventional Radiology Unit, "Sapienza" University of Rome, Rome, Italy
,
Emanuele Boatta
Department of Radiology, Vascular and Interventional Radiology Unit, "Sapienza" University of Rome, Rome, Italy
,
Massimiliano Allegritti
Department of Radiology, Vascular and Interventional Radiology Unit, "Sapienza" University of Rome, Rome, Italy
,
Pierleone Lucatelli
Department of Radiology, Vascular and Interventional Radiology Unit, "Sapienza" University of Rome, Rome, Italy
,
Fabrizio Fanelli
Department of Radiology, Vascular and Interventional Radiology Unit, "Sapienza" University of Rome, Rome, Italy
,
Armando Pucci
Department of Radiology, Vascular and Interventional Radiology Unit, "Sapienza" University of Rome, Rome, Italy
,
Carolina Paciotti
Department of Surgical Sciences, "Sapienza" University of Rome, Rome, Italy
,
Filippo Maria Salvatori
Department of Radiology, Vascular and Interventional Radiology Unit, "Sapienza" University of Rome, Rome, Italy
› Author Affiliations

Abstract

Percutaneous treatment has been developing as a reliable and effective alternative to surgery in the treatment of liver hydatid cysts. However, percutaneous treatment is strongly recommended only for some types of hydatid cysts (types I and II). We report a patient with type III (CE2, according to the WHO classification) multiple liver hydatid cysts treated with the PAIR (puncture-aspiration-injection-reaspiration) technique. The patient developed a secondary biliary fistula, which ultimately healed.



Publication History

Article published online:
30 July 2021

© 2012. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Giorgio A, de Stefano G, Esposito V, Liorre G, Di Sarno A, Giorgio V, et al. Long-term results of percutaneous treatment of hydatid liver cysts: A single center 17 years experience. Infection 2008;36:256-61.
  • 2 Czermak BV, Akhan O, Hiemetzberger R, Zelger B, Vogel W, Jaschke W, et al. Echinococcosis of the liver. Abdom Imaging 2008;33:133-43.
  • 3 Sayek I, Onat D. Diagnosis and treatment of uncomplicated hydatid cyst of the liver. World J Surg 2001;25:21-7.
  • 4 Dziri C, Haouet K, Fingerhut A. Treatment of hydatid cyst of the liver: Where is the evidence? World J Surg 2004;28:731-6.
  • 5 Yagci G, Ustunsoz B, Kaymakcioglu N, Bozlar U, Gorgulu S, Simsek A, et al. Results of surgical, laparoscopic, and percutaneous treatment for hydatid disease of the liver: 10 years experience with 355 patients. World J Surg 2005;29:1670-9.
  • 6 Gharbi HA, Hassine W, Brauner MW, Dupuch K. Ultrasound examination of the hydatic liver. Radiology 1981;139:459-63.
  • 7 Brunetti E, Kern P, Vuitton DA. Writing Panel for the WHO-IWGE. Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans. Acta Trop 2010;114:1-16.
  • 8 Junghanss T, da Silva AM, Horton J, Chiodini PL, Brunetti E. Clinical management of cystic echinococcosis: State of the art, problems, and perspectives. Am J Trop Med Hyg 2008;79:301-11.
  • 9 Van den Broek MA, Olde Damink SW, Dejong CH, Lang H, Malagó M, Jalan R, et al. Liver failure after partial hepatic resection: Definition, pathophysiology, risk factors and treatment. Liver Int 2008;28:767-80.
  • 10 Kabaalioðlu A, Ceken K, Alimoglu E, Apaydin A. Percutaneous imaging-guided treatment of hydatid liver cysts: Do long-term results make it a first choice? Eur J Radiol 2006;59:65-73.
  • 11 Bosanac ZB, Lisanin L. Percutaneous drainage of hydatid cyst in the liver as a primary treatment: Review of 52 consecutive cases with long-term follow-up. Clin Radiol 2000;55:839-48.
  • 12 Rozanes I, Güven K, Acunaº B, Emre A. Cystic echinococcal liver disease: New insights into an old disease and an algorithm for therapy planning. Cardiovasc Intervent Radiol 2007;30:1112-6.
  • 13 Manouras A, Genetzakis M, Antonakis PT, Lagoudianakis E, Pattas M, Papadima A, et al. Endoscopic management of a relapsing hepatic hydatid cyst with intrabiliary rupture: A case report and review of the literature. Can J Gastroenterol 2007;21:249-53.
  • 14 Men S, Hekimoglu B, Yucesoy C, Arda IS, Baran I. Percutaneous treatment of hepatic hydatid cysts: An alternative to surgery. AJR Am J Roentgenol 1999;172:83-9.
  • 15 Canyigit M, Gumus M, Cay N, Erol B, Karaoglanoglu M, Akhan O. Refractory cystobiliary fistula secondary to percutaneous treatment of hydatid cyst: Treatment with n-butyl 2-cyanoacrylate embolization. Cardiovasc Intervent Radiol 2011;34 Suppl 2:S266-70.
  • 16 Akhan O, Ozmen MN. Percutaneous treatment of liver hydatid cysts. Eur J Radiol 1999;32:76-85.