Table 6. Overall reversible complications due to percutaneous treatment of hydatid cysts.
Reversible complications | No. of cases | % of treated hydatid cysts (n = 5517) | % of percutaneous treatment procedures (n = 5943) |
Reversible severe anaphylactic reaction | 4 | 0.07 | 0.07 |
Reversible moderate anaphylactic reaction | 7 | 0.13 | 0.12 |
Reversible mild/minor anaphylactic reaction | 7 | 0.13 | 0.12 |
Reversible anaphylactic reaction not specified | 15 | 0.27 | 0.25 |
Allergic skin reaction (urticaria, rash, pruritus) | 66 | 1.20 | 1.11 |
“Fever & urticaria” | x * | - | - |
Hypotensive reaction | 15 | 0.27 | 0.25 |
Fever | 111 | 2.01 | 1.87 |
Vaso-vagal reaction | 1 | 0.02 | 0.02 |
Nausea & vomiting | 1 | 0.02 | 0.02 |
Cavity infection/abscess | 60 | 1.09 | 1.01 |
Biliary fistula/leakage/rupture | 427 | 7.74 | 7.18 |
Persisting drainage † | 2 | 0.04 | 0.03 |
Peritoneal leakage | 2 | 0.04 | 0.03 |
Subcapsular haematoma | 6 | 0.11 | 0.10 |
Intracystic bleeding | 1 | 0.02 | 0.02 |
Gallbladder haemorrhage | 1 | 0.02 | 0.02 |
Active arterial haemorrhage ‡ | 1 | 0.02 | 0.02 |
Right-sided pleural effusion | 13 | 0.24 | 0.22 |
Pneumothorax | 2 | 0.04 | 0.03 |
Transient hypernatraemia § | 2 | 0.04 | 0.03 |
Non-classified reversible complication | 33 | 0.60 | 0.56 |
Total | 777 | 14.12 | 13.08 |
*“no complications were observed except…fever and urticaria”, no figures given (Zerem et al., 2005 [10 cases of percutaneous treated spleen hydatid cysts]).
†: “Persisting drainage of serous fluid … was treated by keeping the drainage catheter in place until cessation of drainage (range 2–30 d)” (Men et al., 1999).
‡: Parenchymal liver laceration with active arterial haemorrhage from a branch of the right hepatic artery and the need for endovascular and surgical intervention (Loutfi et al., 2008).
§: Due to the usage of hypertonic saline as scolecidal agent (Haddad et al., 2000).