Muscle hydatid diseases: percutaneous treatment with Örmeci technique

Yıl 2022, Cilt: 5 Sayı: 3, 732 - 739, 30.05.2022

Necati Örmeci , Özgün Ömer Asiller Cemil Yağcı Tuğrul Örmeci Zeynep Ellik Çağdaş Kalkan Atilla İlhan

https://doi.org/10.32322/jhsm.1011096

Cited By: 1

Öz

Aim: To present results of percutaneous treatment with Örmeci technique for muscle hydatid diseases.
Material and Method: Twelve patients (9 male, 3 female) with 16 hydatid cysts (10 CE Type 1, 6 CE Type3B) were treated by percutaneous treatment with Örmeci technique. The percutaneous puncture was performed under sonographic guidance using a 22-gauge Chiba needle as a one-step procedure in CE type 1 and 3A. However, two to six Chiba needles according to size of the cysts were used in different locations at the same time in the cyst of CE type 2, and 3B). For every 1 cm of the long diameter of the cyst lesion, 3cc of fluid from the cysts was aspirated, which was almost the same amount of cc in volume for the CE type 1 and CE type 3A hydatid cysts. A 2cc of pure alcohol (96 %) and 1cc of polidocanol 1% (ethoxysclerol 1%, Kreussler Pharma, Wiesbaden, Germany) were injected into the cysts right after the aspiration of CE type 1 and type 3A, without the aspiration of CE type 2 and 3B, for each centimeter of the long diameter of the cysts. The total amount of pure alcohol and polidocanol were injected equally among the CE type 2 and type 3B cyst’s needles. It was waited for five minutes for all scolexes to be killed and the needle/or needles were taken back. The patients with hydatid disease were followed up mean 34.75 ±14.39 (maximum 65-minimum 15) months.
Findings: Fifteen out of 16 hydatid cysts (93.75%) cured. We had two complications of treatment. One patient had an abscess in the cyst after the percutaneous treatment. After the percutaneous drainage, patient was cured well, and he had no symptoms during the follow up. Another patient had torpidity in his leg after the treatment. After three months, he had no symptoms.
In Conclusion, Percutaneous treatment with Örmeci technique is outpatient based, successful, safe, repeatable, cheap and It can be used as an alternative treatment in selected patients.

Anahtar Kelimeler

Hydatid cyst, Percutaneous treatment, Örmeci Technique

Kaynakça

• Narra R, Maestri M, Budke CM, et al. Costs associated with surgically treated cases of abdominal cystic echinococcosis: a single center's experience for 2008 t 2014, Pavia, Italy. Am J Trop Med Hyg 2016; 95: 405-9.
• Ormeci N, Idilman R, Akyar S, et al. Hydatid cysts in muscle: a modified percutaneous treatment approach. Int J Infect Dis 2007; 11: 204-8.
• Gharbi HA, Hassine W, Brauner MW, Dupuch K. Ultrasound examination of the hydatic liver. Radiology 1981; 139: 459-63.
• International classification of ultrasound images in cystic echinococcosis for application in clinical and field epidemiological settings. Acta Trop 2003; 85: 253-61.
• Pedrosa I, Saíz A, Arrazola J, Ferreirós J, Pedrosa CS. Hydatid disease: radiologic and pathologic features and complications. Radio Graphics 2000 20: 795-817.
• Ormeci N, Soykan I, Bektas A, et al. A new percutaneous approach for the treatment of hydatid cysts of the liver. Am J Gastroenterol 2001; 96: 2225-30.
• Gougoulias NE, Varitimidis SE, Bargiotas KA, Dovas TN, Karydakis G, Dailiana ZH. Skeletal muscle hydatid cysts presenting as soft tissue masses. Hippokratia 2010; 14: 126-30.
• Brunetti E, Kern P, Vuitton DA. Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans. Acta Trop 2010; 114: 1-16.
• McManus DP, Gray DJ, Zhang W, Yang Y. Diagnosis, treatment, and management of echinococcosis. BMJ 2012; 344: e3866.
• Pendse HA, Nawale AJ, Deshpande SS, Merchant SA. Radiologic features of hydatid disease: the importance of sonography. J Ultrasound Med 2015; 34: 895-905.
• Arazi M, Erikoglu M, Odev K, Memik R, Ozdemir M. Primary echinococcus infestation of the bone and muscles. Clin Orthop Relat Res 2005: 234-41.
• Stojkovic M, Zwahlen M, Teggi A, et al. Treatment response of cystic echinococcosis to benzimidazoles: a systematic review. PLoS neglected tropical diseases 2009; 3: e524-e.
• Cristiana F, Bruno Di V, Antonella T. Long-term evaluation of patients with hydatidosis treated with benzimidazole carbamates. Clin Infect Dis 1999; 29: 304-9.
• Kurz K, Schwabegger A, Schreieck S, Zelger B, Weiss G, Bellmann-Weiler R. Cystic echinococcosis in the thigh: a case report. Infection 2019; 47: 323-9.
• Al-Hakkak SMM. Adductor magnus muscle primary hydatid cyst rare unusual site: A case report. Int J Surg Case Rep 2018; 51: 379-84.
• Hasanoglu I, Aytekin MN, Agackiran Y, Ugurlu M, Guner R, Tosun N. Don't miss it, it might be a hydatid cyst in the gluteus. Trop Doct 2017; 47: 63-5.
• Boyaci N, Boyaci A, Karakas E, Altay MA. Primer hydatid cyst of the deltoid muscle. BMJ Case Rep 2013: 2013.
• Moretti B, Panella A, Moretti L, Garofalo R, Notarnicola A. Giant primary muscular hydatid cyst with a secondary bone localization. Int J Infect Dis 2010; 14: e192-5.
• Toğral G, Arıkan Ş M, Ekiz T, Kekeç AF, Ekşioğlu MF. Musculoskeletal hydatid cysts resembling tumors: a report of five cases. Orthop Surg 2016; 8: 246-52.
• Charalambous GK, Katergiannakis VA, Manouras AJ. Three cases of primary hydatidosis of the gluteus muscle: our experience in clinical, diagnostic and treatment aspects. Chirurgia (Bucur) 2014; 109: 555-8.
• Battelli G. Socio-economic impact of cystic echinococcosis and of its control: some data and considerations. Parassitologia 2005; 46: 359-62.
• Arslan S, Bakdik S, Oncu F, Tolu I, Eryilmaz MA. Successful percutaneous treatment of extrahepatic cystic echinococcosis through PAIR and single puncture catheter techniques. Jpn J Radiol 2017; 35: 296-302.
• Ormeci N, Soykan I, Palabiyikoğlu M, et al. A new therapeutic approach for treatment of hydatid cysts of the spleen. Dig Dis Sci 2002; 47; 2037-44.
• Ormeci N, Idilman R, Tüzün A, Erdem H, Palabiyikoğlu M. A new percutaneous approach for the treatment of hydatid cyst of the kidney: long-term follow-up. Int Urol Nephrol 2005; 37: 461-4.
• Örmeci N, Kalkan Ç, Karakaya F, et al. Percutaneous treatment with the Örmeci technique for hydatid disease located in the spleen: Single center experience for twenty six years. Turk J Gastroenterol 2018; 29: 566-73.
• Örmeci N, Kalkan C, Ellik Z, et al. Percutaneous treatment with the Örmeci technique of cystic echinococcosis: experience of single center. Gastroenterol Hepatol 2020; 11: 223-30.
• Ormeci N. PAIR vs Örmeci technique for the treatment of hydatid cyst. Turk J Gastroenterol 2014; 25: 358-64.