First successful puncture, aspiration, injection, and re-aspiration of hydatid cyst in the liver presenting with anaphylactic shock in Korea.
Hydatid disease is a parasitic infestation caused by the larval form of Echinocococcus. In human, the most commonly affected organs are liver and lung. Most cysts remain clinically silent and are diagnosed incidentally or when complications occur. In Korea, hydatid disease is rare and surgically treated cases have been reported in the Korean literature. However, it is expected to confront this disease sooner or later, because of recent increase in traveling to the endemic area and industrial workers originating from those areas. With this trend, we experienced a case of hydatid cyst of the liver in a male patient from Uzbekistan. This patient was presented with anaphylactic shock combined with hydatid cyst. We successfully treated using ultrasound-guided transhepatic percutaneous drainage [termed puncture, aspiration, injection, and re-aspiration (PAIR)] of the hydatid cyst and concomitant albendazole instead of surgery. In this clinical case report, we describe all the course of the patient and recommend the PAIR as a first choice method for treatment of hepatic hydatid cyst.
Park
Kyung-Hwa
KH
Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea. medkid@dreamwiz.com
Jung
Sook-In
SI
Jang
Hee Chang
HC
Shin
Jong-Hee
JH
D000328:Adult; D015766:Albendazole / Q000627:therapeutic use; D000707:Anaphylaxis / Q000150:complications*; D000818:Animals; D000923:Anticestodal Agents / Q000627:therapeutic use; D004322:Drainage; D004444:Echinococcosis, Hepatic / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000628:therapy*; D004446:Echinococcus / Q000302:isolation & purification; D006801:Humans; D007723:Korea; D008297:Male; D011859:Radiography; D014610:Uzbekistan
D000923:Anticestodal Agents; D015766:Albendazole