Modified Pair Technique for Treatment of Hydatid Cysts in the Spleen

  • Enver Zerem University Clinical center of Tuzla, Internal Clinic, Department of Gastroenterology
  • Amir Nuhanović University Clinical center of Tuzla, Internal Clinic, Department of Gastroenterology
  • Jasmin Caluk University Clinical center of Tuzla, Internal Clinic, Department of Gastroenterology
Keywords: Spleen hydatid cyst, PAIR, Interventional ultrasound

Abstract

The aim of this study was to evaluate the results of single-session sclerotherapy with mixture of alcohol and polidocanol and a subsequent injection of albendazole for devisceration of hydatid cysts in the spleen. Eight patients (four women and four men, average age 22.9±11.4 with hydatid cyst in the spleen were treated with 10 minutes time of exposure to mixture of ethanol 95% and polidocanol 1%. After that, 2 to 5 ml of albendazole was injected into the cyst cavity. Two patients had 2 cysts. At follow-up the patients were examined with clinical and biochemical examinations, ultrasonography, and serologic test for echinococcal antibody titres. The mean hospital stay was 2.5±0.93 days. During the follow-up period, mean cyst diameter decreased from 46±16.4 mm to 13.6±16.26 mm. In all ten cysts, a reduction of post procedural recolection of fluid over 40% was observed. Five cysts (50%) disappeared during the follow-up period. All cysts (5) smaller then 50 mm in diameter disappeared during follow-up period. After an initial rise, the echinococcal-an-tibody titres fell progressively and at the last follow-up were negative (< 1: 160) in 7 (88%) patients. No complications were observed, except for pain, fever and urticaria during the first 24-hours after the procedure. Sclerotherapy using only one session and 10 min time of exposure to the mixture of ethanol and polidocanol, and a subsequent injection of al-bendasole solution represents an effective treatment of hydatid cysts in the spleen. This procedure is even more efficacious for hydatid cyst with diametar smaller then 50mm.

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Published
2005-08-20
How to Cite
1.
Zerem E, Nuhanović A, Caluk J. Modified Pair Technique for Treatment of Hydatid Cysts in the Spleen. BJBMS [Internet]. 20Aug.2005 [cited 19Mar.2019];5(3):74-8. Available from: http://www.bjbms.org/ojs/index.php/bjbms/article/view/3275
Section
New and Emerging Methods