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. 1994 Feb;190(2):387-92.
doi: 10.1148/radiology.190.2.8284385.

Symptomatic hepatic cysts: percutaneous drainage and sclerosis

E vanSonnenberg  1 , J T Wroblicka, H B D'Agostino, J R Mathieson, G Casola, R O'Laoide, P L Cooperberg
Affiliations

Symptomatic hepatic cysts: percutaneous drainage and sclerosis

E vanSonnenberg et al. Radiology. 1994 Feb.

Abstract

Purpose: To evaluate the authors' experience with treatment of symptomatic hepatic cysts by means of percutaneous catheterization and sclerosis.

Materials and methods: Twenty patients with 24 symptomatic hepatic cysts underwent percutaneous drainage and sclerosis. Ten patients had polycystic disease, and 10 had solitary cysts. Sclerosants used were alcohol, tetracycline, doxycycline, or a combination.

Results: Twenty-one of 24 cysts in 17 of 20 patients were treated successfully. Treatment was unsuccessful in three patients: one patient with innumerable medium-size and small cysts, one patient in whom only a needle was inserted (no catheter), and one patient with a cystic metastasis (rather than a simple cyst) that recurred. Complications included pleural effusion in two patients and secondary infection in one patient. The range of blood alcohol levels was 0-0.8 mg%.

Conclusion: Percutaneous catheter drainage with sclerosis is an effective method of therapy for symptomatic hepatic cysts; careful patient selection is essential for proper therapy.

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