RESUMO
Percutaeous puncture-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 percent. Complications included two cases of urticaria, one case of anaphylaxis and one subcapsular hematoma. No mortality occurred. It is concluded that percutaneous 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
Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Drenagem , Equinococose Hepática/terapia , Solução Salina Hipertônica/administração & dosagem , Estudos Multicêntricos como Assunto , Estudos ProspectivosRESUMO
Se presenta un paciente, hombre de 60 años, que consulta por dolor abdominal, polaquiuria, diarrea, disminución de peso y anorexia de 3 meses de evolución, con antecedentes de TBC 20 años atrás y alcoholismo crónico. Se observó por US y TC, un aumento de tamaño y características de masa en el músculo psoas derecho, el cual fue tratado mediante drenaje por vía percutánea, obteniéndose un material purulento, fétido. Se trataba de una colección abscedada cuyo germen productor fue Proteus mirabilis. El tratamiento fue complementado con terapia antibiótica específica