Pediatric radiology · 2011
Hydatid cysts of the liver in children: percutaneous treatment with ultrasound follow-up.
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Kahriman Guven, Ozcan Nevzat, Donmez Halil
Аннотация
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.
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.