CASE REPORT   

Minerva Chirurgica 2002 August;57(4):503-6

Copyright © 2002 EDIZIONI MINERVA MEDICA

language: Italian

Alcohol treatment of hydatid cyst in a case of old hydatidosis with hepatic skip

Giordano A., Santagata A., Di Meo E., Della Corte L., Di Robbio R.

Hydatidosis is related to parasitical etiology, linked to Echinococcus granulosis and Echinococcus multilocularis. The authors describe an uncommon clinical case of old hydatidosis in an 80-year old woman, presenting ''hepatic skip'', with localization to the right lung and kidney and burrowing to the posterior abdominal wall. Because of the patient's lack of compliance, percutaneous treatment with alcohol of the lumbar lesion with 95% ethanol is carried out under echographic guide, to improve quoad valetudinem prognosis. The authors indicate that the method target are: 1) multiple relapse lesions; 2) complicated anatomie area; 3) multiltle cyst; 4) marginal lesions. Moreover, this method shows important advantages such as be possibility of repetition, low invasivity, high patient's compliance, low rate of shock and dissemination and finally low cost.