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Title: Percutaneous Treatment of Splenic Cystic Echinococcosis: Results of 12 Cases

PurposeCystic echinococcosis (CE) in the spleen is a rare disease even in endemic regions. The aim of this study was to examine the efficacy of percutaneous treatment for splenic CE.Materials and MethodsTwelve patients (four men, eight women) with splenic CE were included in this study. For percutaneous treatment, CE1 and CE3A splenic hydatid cysts were treated with either the PAIR (puncture, aspiration, injection, respiration) technique or the catheterization technique.ResultsEight of the hydatid cysts were treated with the PAIR technique and four were treated with catheterization. The volume of all cysts decreased significantly during the follow-up period. No complication occurred in seven of 12 patients. Abscess developed in four patients. Two patients underwent splenectomy due to cavity infection developed after percutaneous treatment, while the spleen was preserved in 10 of 12 patients. Total hospital stay was between 1 and 18 days. Hospital stay was longer and the rate of infection was higher in the catheterization group. Follow-up period was 5–117 months (mean, 44.8 months), with no recurrence observed.ConclusionThe advantages of the percutaneous treatment are its minimal invasive nature, short hospitalization duration, and its ability to preserve splenic tissue and function. As the catheterization technique is associated with higher abscess risk, we suggest that themore » PAIR procedure should be the first percutaneous treatment option for splenic CE.« less
Authors:
;  [1] ;  [2] ;  [1] ;  [3] ;  [1] ;  [4] ;  [1]
  1. Hacettepe University, Department of Radiology, School of Medicine (Turkey)
  2. Istanbul University, Department of Radiology, Istanbul School of Medicine (Turkey)
  3. Istanbul Bakirkoy Dr. Sadi Konuk Education and Research Hospital, Department of Radiology (Turkey)
  4. Antalya Education and Research Hospital, Department of Radiology (Turkey)
Publication Date:
OSTI Identifier:
22469564
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 39; Journal Issue: 3; Other Information: Copyright (c) 2016 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ABSCESSES; ANIMAL TISSUES; BIOMEDICAL RADIOGRAPHY; CYSTS; HOSPITALS; MEN; PATIENTS; SPLEEN; SPLENECTOMY; WOMEN