Skip to main content
SpringerLink
Log in

Percutaneous treatment of hepatic cysts by aspiration and sclerotherapy

  • Clinical Investigations
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

We treated 35 patients who had hepatic cysts (30 congenital cysts, 5 hydatid cysts) with percutaneous puncture and sclerotherapy. After puncture and drainage of the cyst, a 95% alcohol solution was instilled as sclerosing agent into the cystic cavity. In all the patients, cyst puncture and drainage was successful. Follow-up in all cases was at least 12 months. In three uncooperative patients, cysts recurred due to incomplete sclerosis of the lining epithelium of the cyst wall. No major complications were encountered in all cases. All congenital cysts were treated on an outpatient basis. Patients with hydatid cyst were hospitalized for 48 h after puncture and aspiration. In our opinion, percutaneous drainage and sclerosis of congenital hepatic cysts can be considered an effective alternative to surgical treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Robbins SL (1974) Pathological basis of diseases. WB Saunders, Philadelphia, pp 994–995.

    Google Scholar 

  2. San Felippo RM, Beahrs OH Welland LH (1974) Cystic disease of the liver. Ann Surg 179:922–925.

    Article  CAS  Google Scholar 

  3. Jones WL, Mountain JC, Warren KV (1974) Symptomatic nonparasitic cyst of the liver. Br J Surg 61:118–123

    Article  PubMed  CAS  Google Scholar 

  4. Bean WJ, Rodan BA (1985) Hepatic cysts: Treatment with alcohol. AJR 144:237–241.

    PubMed  CAS  Google Scholar 

  5. Bezzi M, Teggi A, Derosa F, Capozzi A, Tucci G, Bonifacino A, Angelini L (1987) Abdominal hydatid disease: US findings during medical treatment. Radiology 162:91–95

    PubMed  CAS  Google Scholar 

  6. Buckenham TM, Teele R (1990) Percutaneous therapy for hepatic cysts. Case report and review of literature. Australas Radiol 34:159–161.

    PubMed  CAS  Google Scholar 

  7. Goldstein GM, Carlyle DR, Nelson RS (1976) Treatment of symptomatic hepatic cyst by percutaneous instillation of pantopaque. AJR 127:850–853.

    PubMed  CAS  Google Scholar 

  8. Roemer CE, Ferrucci JT Jr, Mueller PR, Simeone JF, van Sonnenberg E, Wittenberg J (1981) Hepatic cyst: Diagnosis and therapy by sonographic needle aspiration. AJR 136:1065–1070

    PubMed  CAS  Google Scholar 

  9. Al Karawi MA, El Shiekh Mohamed AR, Yasawy MI (1990) Advances in diagnosis and management of hydatid disease. Hepatogastroenterology 37:327–331.

    PubMed  Google Scholar 

  10. Bret MP, Fond A, Bretagnolle M, Vallette PJ, Thiesse PH, Lambert R, Ladadie M (1988) Percutaneous aspiration and drainage of hydatid cyst in the liver. Radiology 168:617–620

    PubMed  CAS  Google Scholar 

  11. Gharbi HA, Gargouri M, Amor NB, Chehida FB, Haimou-Jeddi A, Bardi I, Cheikh MB (1989) Quoi de neuf dans la maladie hydatique. Work presented to the Course on Interventional Radiology and Neuroradiology. Spotorno (Italy), September 7–9, 1989.

  12. Kairaluoma MI, Leinonen A, Stahlberg M, Paivansalo M, Kiviniemi H, Siniluoto T (1989) Percutaneous aspiration and alcohol sclerotherapy for symptomatic hepatic cysts: An alternative to surgical intervention. Am Surg 210: 208–215.

    CAS  Google Scholar 

  13. Khuroo MS, Zargar SA, Mahajan R (1991)Echinococcus granulosus cysts in the liver: Management with percutaneous drainage. Radiology 180:141–145.

    PubMed  CAS  Google Scholar 

  14. Mueller PR, Dawson SL, Ferrucci JT, Nardi GL (1985) Hepatic echinococcal cyst: Successful percutaneous draignage. Radiology 155:627–628.

    PubMed  CAS  Google Scholar 

  15. Saini S, Mueller PR, Ferrucci JT Jr, Simeone JF, Wittenberg J, Butch RJ (1983) Percutaneous aspiration of hepatic cyst does not provide definitive therapy. AJR 141:559–560.

    PubMed  CAS  Google Scholar 

  16. Livraghi T, Damascelli B, Lombardi C, Spagnoli I (1983) Risk in fine needle abdominal biopsy. JCU 11:77–81

    PubMed  CAS  Google Scholar 

  17. Lai EC, Wong J (1990) Symptomatic nonparasitic cysts of the liver. World J Surg 14:452–456

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, University of Sassari, Sassari, Italy

    Stefano Profili & Giovanni Battista Meloni

  2. Institute of Radiology, University of Rome Tor Vergata. S. Eugenio Hospital, P. le dell'Umanesimo, 10, 00144, Rome, Italy

    Giovanni Simonetti, Gian Luigi Sergiacomi & Antonio Orlacchio

Authors
  1. Giovanni Simonetti
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Stefano Profili
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Gian Luigi Sergiacomi
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Giovanni Battista Meloni
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Antonio Orlacchio
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Simonetti, G., Profili, S., Sergiacomi, G.L. et al. Percutaneous treatment of hepatic cysts by aspiration and sclerotherapy. Cardiovasc Intervent Radiol 16, 81–84 (1993). https://doi.org/10.1007/BF02602983

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02602983

Key words

Search

Navigation