CT follow-up of empyemas: pleural peels resolve after percutaneous catheter drainage.

Development of a huge intrahepatic biloma after radiofrequency ablation (RFA) is a rare complication. We report a patient with hepatocellular carcinoma (HCC) who had been treated by RFA and was complicated by a huge biloma. The biloma was cured by percutaneous catheter drainage and endoscopic retrograde cholangiopancreatography. A plastic stent was placed from the duodenal ampulla to the common bile duct to lower the pressure. The catheter and the stent were removed within 1 month after the biloma had disappeared. There was no recurrence of the biloma and HCC lesions with a follow-up time of 2 years. The present case is one of the best reported outcomes after development of a huge biloma.

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Necrotising Enterocolitis Experience with 54 Neonates

Scottish Medical Journal ◽

10.1177/003693308402900306 ◽

1984 ◽

Vol 29 (3) ◽

pp. 166-170 ◽

Cited By ~ 6

Author(s):

P. Dolan ◽

A. F. Azmy ◽

D. G. Young ◽

M. Ziervogel

Keyword(s):

Intestinal Perforation ◽

Clinical Evidence ◽

Necrotising Enterocolitis ◽

Percutaneous Catheter Drainage ◽

Colonic Stricture ◽

Extreme Prematurity ◽

Catheter Drainage ◽

Percutaneous Catheter ◽

Surgical Unit

Fifty-four neonates transferred to the neonatal surgical unit because of acute necrotising enterocolitis (N.E.C.) are presented. Eleven died (20.4%), of whom seven were treated conservatively and four by operation. Ten patients required surgical exploration because of intestinal perforation, obstruction or suspected perforation. Another five neonates presented with intestinal perforation and were treated by percutaneous catheter drainage of the peritoneal cavity because of their extreme prematurity. Nine patients developed a colonic stricture diagnosed between six weeks and a year after the onset of the disease. Another six patients showed a segment of colonic narrowing detected on barium enema radiography without clinical evidence of bowel obstruction. They were treated conservatively and showed complete resolution at follow up studies.

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

International Surgery Journal ◽

10.18203/2349-2902.isj20203098 ◽

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.

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