title: Management of hepatic cysts by percutaneous drainage and instillation of tetracycline hydrochloride.
abstract: This paper reports two cases of benign hepatic cysts successfully treated by the instillation of tetracycline hydrochloride. The patients presented with solitary large symptomatic hepatic cysts and underwent ultrasound guided needle aspiration followed by the instillation of tetracycline hydrochloride. The cyst size diminished without complication and the patients have remained symptom free. We review the treatment of this uncommon entity and propose that injection of tetracycline hydrochloride is an effective nonoperative treatment of symptomatic solitary hepatic cysts.
authors.affiliation: Department of Surgery, Radiology, Anaesthesia and Intensive Care, University of the West Indies, Kingston 7, Jamaica.
authors.forename: M E
authors.initials: ME
authors.lastname: McFarlane
authors.forename: R
authors.initials: R
authors.lastname: Venugopal
authors.forename: A
authors.initials: A
authors.lastname: McDonald
authors.forename: R
authors.initials: R
authors.lastname: Ewing
authors.forename: M S
authors.initials: MS
authors.lastname: Newnham
authors.forename: L
authors.initials: L
authors.lastname: Johnson
mesh_terms: D000293:Adolescent; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D003560:Cysts / Q000000981:diagnostic imaging / Q000628:therapy*; D004322:Drainage; D006801:Humans; D007322:Instillation, Drug; D008107:Liver Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D015911:Sclerotherapy; D013752:Tetracycline / Q000008:administration & dosage / Q000627:therapeutic use*; D014463:Ultrasonography
chemical_list: D000900:Anti-Bacterial Agents; D013752:Tetracycline