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Case Reports
. 2009 Jul;18 Suppl 2(Suppl 2):165-7.
doi: 10.1007/s00586-008-0737-3. Epub 2008 Aug 12.

Primary paraspinal hydatid cyst treated with puncture, aspiration, injection and re-aspiration (PAIR) technique: a case report

Serkan Bilgic  1 , Ozkan Kose, Ali Sehirlioglu, Ismail Safaz, Huseyin Ozkan
Affiliations
Case Reports

Primary paraspinal hydatid cyst treated with puncture, aspiration, injection and re-aspiration (PAIR) technique: a case report

Serkan Bilgic et al. Eur Spine J. 2009 Jul.

Abstract

Hydatid disease is a parasitic tapeworm infection that usually involves liver and lungs. Primary skeletal muscle hydatid cyst without liver and lung involvement is rare. En bloc resection without inducing rupture and spreading the daughter cyst is recommended treatment strategy and accepted to be curative for intramuscular hydatid cyst. We report a case of primary hydatid cyst of the erector spinae muscle which was treated successfully with ultrasonography guided puncture, aspiration, injection of 95% ethanol and re-aspiration (PAIR) technique.

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Figures

Fig. 1
Fig. 1
a Ultrasonographic appearance of the cyst at initial admission. Arrow shows the detached germinative membrane within the cyst indicating Type II hydatid cyst according to Gharbi classification. b Twenty-six months after the PAIR treatment, cyst showed decrease in dimensions, solidification of the content and thickening of the cyst wall
Fig. 2
Fig. 2
MRI of the hydatid cyst. a T1 axial sequence and b T2 sagittal sequence. Arrows show the cyst
See this image and copyright information in PMC

References

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