scholarly journals Spontaneous rupture of liver abscess with biliary communication presenting as a lumbar mass

2021 ◽  
Vol 8 (11) ◽  
pp. 3484
Author(s):  
Ajay Bhandarwar ◽  
Amarjeet Tandur ◽  
Geoffrey Kharmutee ◽  
Akshay Rathod ◽  
Kaustubh Dodke ◽  
...  
Keyword(s):  
Liver Abscess ◽  
Percutaneous Drainage ◽  
Spontaneous Rupture ◽  
Pyogenic Liver Abscess ◽  
Primary Treatment ◽  
Minimal Invasive ◽  
Endoscopic Management ◽  
Primary Treatment Modality ◽  
Biliary Communication ◽  
Minimal Invasive Techniques

Pyogenic liver abscess was first reported in the writings of Hippocrates, which was based on the type of fluid recovered from the abscess related to a high mortality rate ranging between 15% and 19% at that time. However in 1938, Ochsner and De Bakey described the recommended surgical treatment as the primary treatment modality. Surgery remained the therapy of choice until the mid-1980s, when percutaneous drainage was shown to be a safer alternative in many cases. Spontaneous rupture of liver abscess may occur free in the peritoneal cavity or in neighbouring organs, an event which is generally considered as a surgical emergency, while localized rupture can be managed with drainage, either percutaneous or surgical/minimal invasive techniques and addition of appropriate antibiotic treatment. In cases where there is uneventful rupture of abscess and localized to the neighbouring organs and tissues can be successfully treated by a combination of broad-spectrum antibiotics and percutaneous drainage and endoscopic management.

scholarly journals Crohn’s Disease Presenting with Pyogenic Liver Abscess: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Sharon McGreal ◽  
Rupert Sayers ◽  
Peter Wurm ◽  
Kevin West
Keyword(s):  
Computed Tomography ◽  
Crohn’S Disease ◽  
Case Report ◽  
Crohn's Disease ◽  
Liver Abscess ◽  
Percutaneous Drainage ◽  
Severe Disease ◽  
Pyogenic Liver Abscess ◽  
Initial Manifestation ◽  
Laboratory Findings

Pyogenic liver abscess (PLA) is a rare extraintestinal complication of Crohn’s disease (CD), and the clinical and laboratory findings may emulate the reactivation of CD, therefore, delaying diagnosis. In this paper the patient presented with PLA as the initial manifestation of CD and experienced severe disease. The finding of PLA was established by computed tomography and initial treatment involved percutaneous drainage and antibiotics. The diagnosis of CD was made after colonoscopy and histological investigations.

scholarly journals HEPATECTOMY FOR PYOGENIC LIVER ABSCESS TREATMENT: EXCEPTION APPROACH?

2018 ◽  
Vol 31 (3) ◽  
Author(s):  
Sergio Renato PAIS-COSTA ◽  
Sergio Luiz Melo ARAUJO ◽  
Victor Netto FIGUEIREDO
Keyword(s):  
Liver Abscess ◽  
Percutaneous Drainage ◽  
Therapeutic Option ◽  
Hepatic Abscess ◽  
Pyogenic Liver Abscess ◽  
Surgical Approaches ◽  
Morbidity Rate ◽  
Median Hospital Stay ◽  
The Mean

ABSTRACT Background: Percutaneous drainage for pyogenic liver abscess has been considered the gold-standard approach for the treatment on almost of the cases. However, when percutaneous drainage fails or even in some especial situations, as multiloculate abscess, lobe or segment surgical resection can solve infectious clinical condition. Aim: To report a series of patients who underwent hepatectomy for pyogenic liver abscess performed by a single surgical team. Methods: Eleven patients were operated with ages ranging from 45-73 years (mean and median 66 years). There were eight men and three women. The etiologies were: idiopathic (n=4), biliary (n=2), radiofrequency (n=2), direct extension (n=1), portal (n=1), and arterial (n=1). The mean lesion diameter was 9.27 cm (6-20 cm). Results: The mean operation length was 180 min (120-300). The mean intra-operative blood loss was 448 ml (50-1500). Surgical approaches were: right hepatectomy (n=4), left hepatectomy (n=3), left lateral sectioniectomy (n=1), right posterior sectioniectomy (n=2), resection of S8 (n=1), and S1 (n=1). Postoperative morbidity rate was 30%, while mortality was null. Median hospital stay was 18 days (5-45). The median follow-up period was 49 months (13-78). There was single lesion recurrence. Conclusion: Hepatectomy can be done as exception approach for pyogenic hepatic abscess treatment; it is a good therapeutic option in special situations.

scholarly journals COMPARISON OF USG GUIDED PIGTAIL CATHETERISATION VS OPEN DRAINAGE IN THE MANAGEMENT OF LIVER ABSCESS

2020 ◽  
pp. 1-2
Author(s):  
Sitesh Kumar Karn ◽  
Ramesh Kumar Ajai ◽  
Debarshi Jana
Keyword(s):  
Hospital Stay ◽  
Clinical Improvement ◽  
Liver Abscess ◽  
Percutaneous Drainage ◽  
Invasive Procedure ◽  
Minimal Invasive ◽  
Male Dominance ◽  
Open Drainage ◽  
Non Invasive ◽  
Group Time

Introduction : Liver abscess is a fatal disease. There is a shift in the treatment modality of choice from open surgery to minimal invasive procedure like percutaneous drainage. Aim : Out aim is to compare the USG guided pigtail catheterization vs open drainage in terms efficacy, success rate, clinical improvement, time needed for total resolution of abscess and duration of hospital stay for the patients. Results : There is male dominance in both the groups. Raised ESR and leukocytosis is seen in both the groups. Clinical improvement as seen by relief from fever and leukocytosis is comparable in both the groups. Efficacy is 100% in SD group while it is 96.6% in PD group. Time needed for total reduction of cavity size and hospital stay was significantly less in PD group as compared to SD group (p<0.03). Morbidity is also less in PD group (30%) as compared to SD group (36.6%). Conclusion : Hence we conclude that USG guided percutaneous drainage is better alternative to surgery for liver abscess as it is effective, non-invasive and has less morbidity.

scholarly journals Fusobacterium Nucleatum : An Atypical Cause of Pyogenic Liver Abscess in an Apparently Immunocompetent Patient

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Yusoff AR ◽  
Abd Razak NA ◽  
Samsuddin S ◽  
Mokhtar S
Keyword(s):  
Liver Abscess ◽  
Percutaneous Drainage ◽  
Fusobacterium Nucleatum ◽  
Pyogenic Liver Abscess ◽  
Enteric Bacteria ◽  
Operative Management ◽  
Immunocompetent Patient ◽  
Immunocompromised Status ◽  
Anaerobic Infections ◽  
Non Operative Management

Pyogenic liver abscess is an uncommon but potentially lethal infection if left untreated. Enteric bacteria and anaerobes are the most common causative organisms of pyogenic liver abscess. Although most infections are of a polymicrobial nature, monomicrobial infections are possible. An immunocompromised status and the presence of periodontal disease are the risk factors for liver abscess caused by these rare, monomicrobial anaerobic infections. Here, we report on a successful non-operative management of a case of multiloculated pyogenic liver abscess caused by Fusobacterium nucleatum in a young, healthy, immunocompetent male patient. The diagnosis was established by radiological imaging and was based on a positive aspirate culture, whereas the mainstay of treatment comprised percutaneous drainage and a prolonged course of antibiotics. Thus, the patient was successfully treated with a 2-week course of intravenous imipenem/cilastatin while he was on percutaneous drainage, and he is now doing well.

Successful Percutaneous Drainage of Pyogenic Liver Abscess Complicated by Bronchobiliary Fistula

1987 ◽  
Vol 80 (7) ◽  
pp. 907-909 ◽  
Author(s):  
THOMAS V. BILFINGER ◽  
KEITH T. OLDHAM ◽  
THOM E. LOBE ◽  
SCOTT BARRON ◽  
C KEITH HAYDEN
Keyword(s):  
Liver Abscess ◽  
Percutaneous Drainage ◽  
Pyogenic Liver Abscess ◽  
Bronchobiliary Fistula

Pneumoperitoneum Following the Spontaneous Rupture of a Gas-Containing Pyogenic Liver Abscess: Report of a Case

Surgery Today ◽  
2001 ◽  
Vol 31 (1) ◽  
pp. 76-79 ◽  
Author(s):  
Minoru Ukikusa ◽  
Takuya Inomoto ◽  
Toshiyuki Kitai ◽  
Keiichi Ino ◽  
Hiroshi Higashiyama ◽  
...  
Keyword(s):  
Liver Abscess ◽  
Spontaneous Rupture ◽  
Pyogenic Liver Abscess

scholarly journals Clinical profile and management of pyogenic liver abscesses in a tertiary care hospital

2019 ◽  
Vol 8 (1) ◽  
pp. 52 ◽  
Author(s):  
Shyam K. Gupta ◽  
Ashufta Rasool ◽  
Aamir H. Hela ◽  
Rohit Goel ◽  
Zahur Hussain
Keyword(s):  
Liver Abscess ◽  
Percutaneous Drainage ◽  
Tertiary Care ◽  
Management Strategies ◽  
Standard Of Care ◽  
Pyogenic Liver Abscess ◽  
Modern World ◽  
Care Hospital ◽  
Medical College ◽  
Liver Abscesses

Background: Pyogenic Liver abscesses are potentially life threatening if left untreated. They pose a major Diagnostic and therapeutic challenge to modern world. Interventional radiology is becoming standard of care for liver Abscesses.Methods: All patients of pyogenic liver abscess admitted to Government Medical College and hospital Jammu, J and K, India from October 2018 to November 2019 were prospectively studied. Demographics, presentation, lab reports and management strategies were evaluated.Results: Total of 60 patients of pyogenic liver abscesses were studied with 81.7% males. Alcohol was found to be most common risk factor with 55% of patients being alcoholic. Right lobe of liver was involved in 66.7% of patients. Segment VI and VII were involved in 50% of patients. The most common clinical symptom was right upper quadrant pain (98.3%), followed by fever (91.7%). The most common clinical sign was right upper quadrant tenderness (91.7%). Percutaneous drainage with catheter placement was the most common and successful modality of management associated with least hospital stay.Conclusions: Pyogenic liver abscess is a rare but serious problem. Early diagnosis and treatment are necessary to avoid mortality. Percutaneous drainage along with I.V antibiotics is the best form of management.

scholarly journals A Case of Spontaneous Rupture of a Gas-containing Pyogenic Liver Abscess.

2002 ◽  
Vol 63 (5) ◽  
pp. 1264-1268
Author(s):  
Taisuke OKAMOTO ◽  
Hironori TANAKA ◽  
Takashi OZAKI ◽  
Keiko IWAISAKO ◽  
Akira MIKI ◽  
...  
Keyword(s):  
Liver Abscess ◽  
Spontaneous Rupture ◽  
Pyogenic Liver Abscess

scholarly journals Endoscopic Management of Branchial Fistula: Diagnostic and Therapeutic.

2021 ◽  
Vol 20 (4) ◽  
Author(s):  
Mark Paul ◽  
Bee See Goh
Keyword(s):  
Surgical Excision ◽  
Neck Surgery ◽  
Typical Feature ◽  
Primary Treatment ◽  
Treatment Modalities ◽  
Endoscopic Management ◽  
First Line ◽  
Primary Treatment Modality ◽  
Branchial Fistula ◽  
Endoscopic Assessment

Recurrent neck abscess is a typical feature of branchial anomaly. Open surgical excision has been the primary treatment modality for past decades however several alternative treatment modalities such as endoscopic electrocauterization has recently gained popularity and acceptance universally. This series aims to introduce endoscopic assessment as the first line diagnostic and therapeutic management for branchial fistula. 5 patients underwent examination under general anesthesia via direct laryngoscopy, endoscopic assessment and cauterization in our centre from 2016 to 2019. They were then followed up at our clinic to assess disease progression. Comparison between open neck surgery and endoscopic cauterization of internal sinus tract opening as the primary treatment has reported similar recurrence rate. Proposal of endoscopic assessment as the first line investigation and diagnostic tool  with the aim of therapeutic cauterization at the same setting. MRI may be needed in scenarios such as failed endoscopic treatment or when open surgery is required.

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