title: Percutaneous Treatment of Splenic Cystic Echinococcosis: Results of 12 Cases.
abstract: OBJECTIVE
  Cystic echinococcosis (CE) in the spleen is a rare disease even in endemic regions. The aim of this study was to examine the efficacy of percutaneous treatment for splenic CE.
  
  
  METHODS
  Twelve patients (four men, eight women) with splenic CE were included in this study. For percutaneous treatment, CE1 and CE3A splenic hydatid cysts were treated with either the PAIR (puncture, aspiration, injection, respiration) technique or the catheterization technique.
  
  
  RESULTS
  Eight of the hydatid cysts were treated with the PAIR technique and four were treated with catheterization. The volume of all cysts decreased significantly during the follow-up period. No complication occurred in seven of 12 patients. Abscess developed in four patients. Two patients underwent splenectomy due to cavity infection developed after percutaneous treatment, while the spleen was preserved in 10 of 12 patients. Total hospital stay was between 1 and 18 days. Hospital stay was longer and the rate of infection was higher in the catheterization group. Follow-up period was 5-117 months (mean, 44.8 months), with no recurrence observed.
  
  
  CONCLUSIONS
  The advantages of the percutaneous treatment are its minimal invasive nature, short hospitalization duration, and its ability to preserve splenic tissue and function. As the catheterization technique is associated with higher abscess risk, we suggest that the PAIR procedure should be the first percutaneous treatment option for splenic CE.
authors.affiliation: Department of Radiology, School of Medicine, Hacettepe University, 06100, Sıhhiye, Ankara, Turkey. akhano@tr.net.
authors.forename: Okan
authors.initials: O
authors.lastname: Akhan
authors.affiliation: Department of Radiology, School of Medicine, Hacettepe University, 06100, Sıhhiye, Ankara, Turkey. selcuk.akkaya85@gmail.com.
authors.forename: Selçuk
authors.initials: S
authors.lastname: Akkaya
authors.affiliation: Department of Radiology, Istanbul School of Medicine, Istanbul University, Istanbul, Turkey. drmgkartal@gmail.com.
authors.forename: Merve Gülbiz
authors.initials: MG
authors.lastname: Dağoğlu
authors.affiliation: Department of Radiology, School of Medicine, Hacettepe University, 06100, Sıhhiye, Ankara, Turkey. burcu_akpinar@yahoo.com.
authors.forename: Burcu
authors.initials: B
authors.lastname: Akpınar
authors.affiliation: Department of Radiology, Istanbul Bakirkoy Dr. Sadi Konuk Education and Research Hospital, Istanbul, Turkey. aysunerbahceci@yahoo.com.
authors.forename: Aysun
authors.initials: A
authors.lastname: Erbahçeci
authors.affiliation: Department of Radiology, School of Medicine, Hacettepe University, 06100, Sıhhiye, Ankara, Turkey. turkmenciftci@yahoo.com.
authors.forename: Türkmen
authors.initials: T
authors.lastname: Çiftçi
authors.affiliation: Department of Radiology, Antalya Education and Research Hospital, Antalya, Turkey. mertkoroglu@hotmail.com.
authors.forename: Mert
authors.initials: M
authors.lastname: Köroğlu
authors.affiliation: Department of Radiology, School of Medicine, Hacettepe University, 06100, Sıhhiye, Ankara, Turkey. akincid@hotmail.com.
authors.forename: Devrim
authors.initials: D
authors.lastname: Akıncı
mesh_terms: D000293:Adolescent; D000328:Adult; D002404:Catheterization; D002648:Child; D002675:Child, Preschool; D003287:Contrast Media / Q000008:administration & dosage; D004443:Echinococcosis / Q000188:drug therapy / Q000628:therapy*; D000431:Ethanol / Q000008:administration & dosage; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D015552:Injections, Intralesional; D008297:Male; D008875:Middle Aged; D011677:Punctures; D012462:Saline Solution, Hypertonic / Q000008:administration & dosage; D013158:Splenic Diseases / Q000188:drug therapy / Q000628:therapy*; D013396:Suction; D018084:Ultrasonography, Interventional; D055815:Young Adult
chemical_list: D003287:Contrast Media; D012462:Saline Solution, Hypertonic; D000431:Ethanol
keywords: Cysts; Echinococcosis; Interventional radiology; Splenic diseases