Successfully Percutaneous Treatment with Ethyl Alcohol in Multiple Hepatic and Extrahepatic Hydatid Cysts; Long Term Outcomes

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Key Points

This study aimed to evaluate the therapeutic success rates, efficacy, and advantages of percutaneous treatment of hepatic hydatid cysts using ethyl alcohol.
Retrospective analysis of 23 patients with multiple hepatic and extrahepatic hydatid cysts treated percutaneously from September 2016 to December 2018.
Utilized puncture, aspiration, injection, and reaspiration (PAIR) for cysts <6 cm and modified catheterization (MoCAT) for type 2 and 3b cysts.
Analyzed outcomes based on clinical observations and imaging results post-treatment.
All 132 lesions (100%) were successfully treated percutaneously.
60.61% of cysts showed pseudotumor appearances, while 25% demonstrated over 50% volume reduction.
7.58% of cysts had less than 50% volume reduction, and 6.82% completely disappeared.

Shows effective long-term outcomes of percutaneous treatment in patients with hydatid cysts, suggesting it as a primary therapy.

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Bakdık et al. (2026) studied this question.

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