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Correspondence
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Volume 338:391-393 February 5, 1998 Number 6
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Percutaneous Drainage of Hydatid Cysts

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 by Liu, L. X.
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 by Khuroo, M. S.
To the Editor: Khuroo et al. (Sept. 25 issue)1 demonstrated that percutaneous drainage, combined with albendazole therapy, is a safe alternative to surgery for the treatment of uncomplicated hepatic hydatid cysts. A remarkable point in this study is that nine patients with multivesicular cysts were treated with percutaneous drainage.

Generally, multivesicular cysts are not considered to be an indication for percutaneous drainage, according to the guidelines of the World Health Organization's Informal Working Group on Echinococcosis.2 All daughter cysts have to be punctured separately during the same procedure, which is technically difficult and time-consuming and may result in additional complications.

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