Pair in the treatment of abdominal echinococcal cysts: Results of an international survey

C. Filice, A. Marangio, F. Crippa, E. Brunetti

Research output: Contribution to journalArticlepeer-review

Abstract

We report on 765 abdominal echinococcal cysts (EC) treated with PAIR (puncture, aspiration, injection, reaspiration), in various Countries. After ultrasound (US)-guided aspiration and parasitological control of the fluid, a scolecide was injected and left inside for 5-30 minutes, then reaspirated. Except for 2 failures (0.26%), reduction and involution of EC were always observed on US follow-up. Anaphylactic shock occurred in 4 cases (0.52%); in one case (0.13%) death ensued. Recurrences were observed in 12 cases (1.57%). Spillage of the fluid in abdominal cavity was observed in 4 cases (0.52%) but because of prophylaxis with albendazole no peritoneal dissemination occurred. Minor complications (fever, rash, biliary fistulas) were observed in 105 cases (13.7%). Follow-up is more than 5 years for 75 cases. PAIR remains a safe and effective therapeutic tool for abdominal EC.

Original languageEnglish
JournalUltrasound in Medicine and Biology
Volume26
Issue numberSUPPL. 2
Publication statusPublished - 2000

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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