scholarly journals EFFICACY OF PERCUTANEOUS CATHETER DRAINAGE IN MANAGEMENT OF LIVER ABSCESSES COMPARED WITH NEEDLE ASPIRATION

2016 ◽  
Vol 5 (28) ◽  
pp. 1418-1422
Author(s):  
Hanumanthappa B N ◽  
Narayanchandra Hebsur I ◽  
Narayan Kabadi Y ◽  
Vishwanath N
Keyword(s):  
Needle Aspiration ◽  
Percutaneous Catheter Drainage ◽  
Catheter Drainage ◽  
Percutaneous Catheter ◽  
Liver Abscesses

scholarly journals Management of complex hepatic abscess by percutaneous catheter drainage: a case report

2020 ◽  
Vol 7 (8) ◽  
pp. 2799
Author(s):  
Prashant Pareek ◽  
Priyanka Pareek ◽  
Pratish Kumar Singh
Keyword(s):  
Hepatic Abscess ◽  
Needle Aspiration ◽  
Percutaneous Catheter Drainage ◽  
Surgical Drainage ◽  
Catheter Drainage ◽  
Percutaneous Catheter ◽  
Liver Abscesses ◽  
The Right ◽  
Antibiotic Coverage

Liver abscesses are a commonly encountered pathology in the tropical setting. Most commonly these are secondary to amoebic infestation. Majority of liver abscesses present with abdominal pain confined to the right hypochondrium. Smaller abscesses are easily dealt with by needle aspiration or catheter drainage under image guidance. Larger and complex abscesses are commonly dealt with by surgical drainage. We deal here with a case of complex liver abscesses which even had perforated into the pleural cavity. Keeping a close watch on the patient’s general condition which was satisfactory, we did not rush into a major surgical procedure. Wide antibiotic coverage and pulmonary care were initiated. Two pig-tail catheters were placed in separate abscesses and metronidazole irrigation periodically done. The daily drain output gradually reduced and we could successfully remove the two catheters at an interval. The patient made a good recovery and continues to do well on follow-up. We see in this case that even large and multiple abscesses if meticulously managed, surgical drainage can be avoided and catheter drainage provides satisfactory results. Good antibiotic coverage must continue in the follow-up period too.

Splenic Abscess

1992 ◽  
Vol 33 (6) ◽  
pp. 561-565 ◽  
Author(s):  
T. Tikkakoski ◽  
T. Siniluoto ◽  
M. Päivänsalo ◽  
M. Taavitsainen ◽  
M. Leppänen ◽  
...  
Keyword(s):  
Splenic Abscess ◽  
Needle Aspiration ◽  
Percutaneous Catheter Drainage ◽  
Low Density ◽  
Catheter Drainage ◽  
Abdominal Radiography ◽  
Fine Needle ◽  
Percutaneous Catheter ◽  
Plain Abdominal Radiography ◽  
Infectious Etiology

We reviewed the imaging findings of 14 splenic abscesses in 13 patients. All patients underwent chest radiography, 12 ultrasonography (US), 9 CT, 4 plain abdominal radiography, 2 99mTc-HMPAO leukocyte scan and 2 99mTc-HIG scan. Three patients were treated with percutaneous catheter drainage, and 5 with diagnostic or therapeutic fine-needle aspiration (FNA). At US the abscess was hypoechoic (n = 9), anechoic (n = 2), or anechoic with gasbubbles (n = 1), or the entire spleen was inhomogeneous with gasbubbles (n = 1). At CT the abscesses appeared as low density (18–30 HU) lesions with (n = 2) or without (n = 7) gas. In 2 cases 99mTc-HMPAO leukocyte scan, and in one case 99mTc-HIG scan showed an intrasplenic defect, and in one case 99mTc-HIG scan was considered normal. At plain abdominal radiography extraintestinal gas was suggested in 2 patients, and the findings were normal in 2. US-guided FNA confirmed infectious etiology of the lesion in 4 patients, and a necrotic specimen suggested infection in one. One patient was cured with repeated aspirations. Catheter drainage was successful in all 3 patients who underwent the procedure. We conclude that US and CT are accurate in detecting splenic abscesses. Our results in splenic interventions advocate wider use of the procedures.

Evaluation and Treatment of a Posttraumatic Intrahepatic Biloma in a Dog

2011 ◽  
Vol 47 (1) ◽  
pp. 64-66
Author(s):  
Christina Soultani ◽  
Michail Patsikas ◽  
Mathios Mylonakis ◽  
Lysimachos Papazoglou ◽  
Paraskevi L. Papadopoulou ◽  
...  
Keyword(s):  
Abdominal Ultrasound ◽  
Needle Aspiration ◽  
Percutaneous Catheter Drainage ◽  
Catheter Drainage ◽  
Fine Needle ◽  
Percutaneous Catheter ◽  
Mixed Breed ◽  
History Of ◽  
Ultrasonographic Guidance ◽  
Chronic Vomiting

A 9 mo old male mixed-breed dog was presented with a history of chronic vomiting and fever after undergoing a cholecystectomy for the management of traumatic cystic duct rupture associated with biliary effusion 10 days before referral. A 6 cm × 6 cm intrahepatic bile collection, a biloma, was diagnosed on abdominal ultrasound and fine-needle aspiration. The biloma was treated with percutaneous catheter drainage under ultrasonographic guidance. Two years after aspiration, the dog continued to do well.

scholarly journals Management of Liver Abscess in Children: Our Experience

2017 ◽  
Vol 7 (1) ◽  
pp. 23-26 ◽  
Author(s):  
Mukta Waghmare ◽  
Hemanshi Shah ◽  
Charu Tiwari ◽  
Kiran Khedkar ◽  
Suraj Gandhi
Keyword(s):  
Liver Abscess ◽  
Ultrasound Guidance ◽  
Pediatric Population ◽  
Needle Aspiration ◽  
Percutaneous Catheter Drainage ◽  
Average Volume ◽  
Catheter Drainage ◽  
Percutaneous Catheter ◽  
Disposable Needle ◽  
The Mean

ABSTRACT Introduction Liver abscess is common in pediatric population in India. Children have unique set of predisposing factors and clinical features. Liver abscesses are infectious, space-occupying lesions in the liver; the two most common abscesses being pyogenic and amebic. Its severity depends on the source of the infection and the underlying condition of the patient. Materials and methods A total of 34 patients less than 12 years were assessed in a retrospective study from January 2012 to 2016. Patients were assessed in terms of age of presentation, etiology, bacteriology, diagnosis, and modality of treatment. Results The mean age of presentation was 6.3 years. Average volume of abscess was 164 cc. Nine patients (26.4%) underwent percutaneous needle aspiration under ultrasound guidance with wide bore needle (18 G disposable needle). Three patients required more than two sittings of aspiration. Patients with volume more than 80 cc were treated with catheter drainage. Twenty patients (58.8%) underwent ultrasound-guided percutaneous catheter drainage. Two patients required catheter drainage for large abscess and needle aspiration for the smaller abscess. Conclusion Antimicrobial therapy along with percutaneous drainage constitutes the mainstay of treatment, whereas open surgical drainage should be reserved for selected cases. How to cite this article Waghmare M, Shah H, Tiwari C, Khedkar K, Gandhi S. Management of Liver Abscess in Children: Our Experience. Euroasian J Hepato-Gastroenterol 2017;7(1):23-26.

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