Tratamiento de quistes hidatícos hepáticos por aspiración percutánea e inyección de solución salina hipertónica: Resultados de un trabajo cooperativo

• Víctor Peláez ^[1] ; Carlos Kugler ^[1] ; Mario del Carpio ^[1] ; Daniel Correa ^[1] ; Eduardo López ^[1] ; Edmundo Larrieu ^[1] ; Marcelo Guangiroli ^[1] ; Juan Molina ^[1]
  1. [1] Clínica Pasteur
• Localización: Boletín chileno de parasitología, ISSN-e 0717-6325, ISSN 0365-9402, Vol. 54, Nº. 3-4, 1999, págs. 63-69
• Idioma: español
• Títulos paralelos:
  • Treatment of hepatic hydatid cysts by percutaneous aspiration and hypertonic saline injection: Results of a cooperative work
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• Resumen

  • Percutaeous punctures-aspiration-injection-respiration (PAIR) of hydatid liver cysts, was performed in 38 patients 14-80 years old, with a total of 60 liver hydatid cysts. After aspiration under computed tomography guidance, hypertonic saline was injected into the cystic cavities of patients as a scolecidal agent. No major complications were associated with the procedures. In the follow-up period of 18 months, control CT scans of 35 cysts revealed a gradual decrease in cyst size with a mean volume reduction of 66%. Complications included two cases of urticaria, one case of anaphylaxis and one subcapsular hematoma. No mortality occurred. It is concluded that percutaneos aspiration and hypertonic saline injection for liver hydatid cysts appears to be an effective form of treatment and may eventually prove to be an alternative to surgical intervention.