Percutaneous treatment of giant hydatid cysts: a single-center experience of 58 cysts

Abdom Radiol (NY). 2023 Apr;48(4):1409-1414. doi: 10.1007/s00261-023-03841-0. Epub 2023 Feb 12.

Abstract

Purpose: The aim of this study is to evaluate the efficacy of percutaneous treatment in hydatid cysts (HCs) with at least one diameter larger than 10 cm.

Materials and methods: 58 CE1 or CE3a HCs with at least one diameter larger than 10 cm which were treated with catheterization between September 2016 and December 2021 were retrospectively analyzed.

Results: Mean age was 40 ± 17.7 (18-80). Majority of HCs were in the liver (89.6%). Median follow-up was 28 months. Technical success rate was 100%; however, a second procedure was needed in 13 cysts due to recollection (n = 4), infection (n = 6), and recurrence (n = 3).

Conclusions: Giant HCs can be effectively treated with catheterization with low complication rates.

Keywords: Catheterization; Giant; Hydatid cysts; Percutaneous.

MeSH terms

  • Adult
  • Catheterization / methods
  • Cysts*
  • Echinococcosis* / diagnostic imaging
  • Echinococcosis* / surgery
  • Echinococcosis, Hepatic* / diagnostic imaging
  • Echinococcosis, Hepatic* / surgery
  • Humans
  • Middle Aged
  • Retrospective Studies
  • Treatment Outcome
  • Young Adult