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.

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

Radiology ◽  
1990 ◽  
Vol 176 (1) ◽  
pp. 195-197 ◽  
Author(s):  
C C Neff ◽  
E vanSonnenberg ◽  
D W Lawson ◽  
A S Patton
Keyword(s):  
Percutaneous Catheter Drainage ◽  
Catheter Drainage ◽  
Percutaneous Catheter

scholarly journals Amebic Liver Abscess With Intra-Biliary Rupture

HPB Surgery ◽  
1994 ◽  
Vol 7 (4) ◽  
pp. 305-313 ◽  
Author(s):  
Md. Ibrarullah ◽  
Deepak K. Agarwal ◽  
Sanjay S. Baijal ◽  
Bhagwant R. Mittal ◽  
Vinay K. Kapoor
Keyword(s):  
Liver Abscess ◽  
Jejunal Loop ◽  
Percutaneous Catheter Drainage ◽  
Amebic Liver Abscess ◽  
Ultrasound Guided ◽  
Catheter Drainage ◽  
Percutaneous Catheter ◽  
Bile Drainage ◽  
The Right ◽  
High Output

The case of a large amebic liver abscess with an atypical presentation is reported. High output bile drainage persisted after ultrasound guided percutaneous catheter drainage because of a preexisting communication of the abscess with the right hepatic ductal system. The abscess was managed successfully by surgical evacuation and internal drainage into a defunctioned jejunal loop.

scholarly journals Treatment of a huge biloma complicating curative radiofrequency ablation of hepatocellular carcinoma: a case report

2019 ◽  
Vol 47 (10) ◽  
pp. 5337-5342
Author(s):  
Haochen Wang ◽  
Ziguang Yan ◽  
Jian Wang ◽  
Yinghua Zou
Keyword(s):  
Hepatocellular Carcinoma ◽  
Radiofrequency Ablation ◽  
Rare Complication ◽  
Percutaneous Catheter Drainage ◽  
Catheter Drainage ◽  
Endoscopic Retrograde ◽  
Plastic Stent ◽  
Percutaneous Catheter ◽  
The Common

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.

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.

scholarly journals A critical role of ultrasonography in management of liver abscesses

2018 ◽  
Vol 17 (2) ◽  
pp. 258-262
Author(s):  
Samita Singal ◽  
Amit Mittal ◽  
Muzzafar Zaman ◽  
Rikki Singal
Keyword(s):  
Liver Abscess ◽  
Guide Wire ◽  
Critical Role ◽  
Medical Science ◽  
Needle Aspiration ◽  
Amoebic Liver Abscess ◽  
Percutaneous Catheter Drainage ◽  
Catheter Drainage ◽  
The Right ◽  
A Prospective Study

Aims and objectives: to see the efficacy of ultrasonography in the management of amoebic liver abscess. We assessed whether patient required surgery or can be managed with drainage procedure on ultrasonography basis.Materials and Methods: This is a prospective study done from July 2014 to May 2015, in a medical college in remote area. A total of 88 patients diagnosed with liver abscess were included in the study for ultrasound-guided percutaneous aspiration or pigtail drainage management. All patients had been treated with antibiotics or antimicrobials for at least 2 weeks if treated conservatively and were still being continued for another 6 weeks.Results: A total of 88 patients with liver abscess were successfully treated, consisting 79 males and 9 female. The age ranged from 18 to 82 years with a mean of 43.6 years. A total number of 76 (86.36%) cases undergone percutaneous catheter drainage and 12 (13.6%) underwent needle aspiration. A total of 73 (82.95%) patients had single large abscess, while 8 (9%) had two and 7 (7.9%) had multiple abscesses. The abscesses were commonly located on the right lobe of liver. The Pigtail catheters of sizes 10 F to 18 F was introduced either directly under the guidance of the guide wire with safety precautions. The volume of pus aspirated averaged from 70 - 1200 ml, while the period of catheter drainage ranged from 7 to 24 days with the follow up on ultrasonography.Conclusion: This study shows a success rate of ultrasonography almost 98 % by avoiding unnecessary surgical intervention. It was confirmed that needle aspiration in small abscesses and catheter drainage in large abscesses offers the safest and best modality.Bangladesh Journal of Medical Science Vol.17(2) 2018 p.258-262

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