Hydatid cysts of the liver in children: percutaneous treatment with ultrasound follow-up
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Guven Kahriman & Nevzat Ozcan & Halil Donmez
- چاپ و سال / کشور: 2010
Description
Background Hydatid disease is a serious public health problem in endemic areas. Percutaneous treatment is an effective alternative to surgical and medical therapy in hydatid liver disease (HLD). Objective To present clinical and radiological results of percutaneous treatment of HLD in children. Materials and methods Twenty-five children (16 males; age range, 5–15 years; mean age, 9.6 years) with a total of 30 hydatid cysts of the liver underwent ultrasound US guided percutaneous treatment using hypertonic saline as the scolicidal agent. Results The percutaneous procedure was successful in all patients. All children were asymptomatic at follow-up. A hypersensitivity reaction occurred in one child (4%) during the procedure. No other complications occurred. The reduction in cyst volume was 14–100% (mean, 64%) at follow-up (mean 13.8 months). On US at follow-up, the treated cysts were semisolid with a heterogeneous echo pattern (n=17), solid hypoechoic (n=10) or solid with calcification (n=2). One treated cyst disappeared sonographically. Conclusion Percutaneous treatment of HLD is effective, safe and well-tolerated in children.
Pediatr Radiol (2011) 41:890–894 DOI 10.1007/s00247-011-2088-1 Received: 18 September 2010 / Revised: 12 December 2010 / Accepted: 31 December 2010 / Published online: 24 May 2011
