scholarly journals Ultrasound-guided liver biopsy and drainage

2019 ◽  
Vol 2 (1) ◽  
pp. 18-26
Author(s):  
Piyapan Prueksapanich
Keyword(s):  
Liver Biopsy ◽  
Needle Aspiration ◽  
Percutaneous Catheter Drainage ◽  
Percutaneous Liver Biopsy ◽  
Ultrasound Guided ◽  
Catheter Drainage ◽  
Non Invasive ◽  
Percutaneous Catheter ◽  
Biliary Interventions ◽  
Transhepatic Biliary Drainage

Despite the presence of non-invasive alternatives, liver biopsy remains the indispensable standard for the diagnosis of many liver diseases, and also provides information for prognostic evaluation and clinical therapeutic decision. Ultrasound guidance has become standard practice for percutaneous liver biopsy and also other percutaneous biliary interventions. Ultrasound offers a number of advantages including its real-timed guidance, lack of radiation exposure, inexpensiveness and the ability to perform at the bedside. In this review, I discuss the indications, contraindications, equipment and procedure, possible complications and post-procedural care for the ultrasound-guided hepatic procedures including percutaneous liver biopsy, percutaneous transhepatic biliary drainage, percutaneous cholecystostomy, percutaneous catheter drainage and needle aspiration.   Figure 1 การใช้คลื่นเสี่ยงความถี่สูงนำทางเข็มระหว่างการเจาะชิ้นเนื้อตับ

Ultrasound-guided percutaneous catheter drainage of splenic abscess

2004 ◽  
Vol 34 (3) ◽  
pp. 271-273 ◽  
Author(s):  
Mandeep Kang ◽  
Akshay K. Saxena ◽  
Madhu Gulati ◽  
Sudha Suri
Keyword(s):  
Splenic Abscess ◽  
Percutaneous Catheter Drainage ◽  
Ultrasound Guided ◽  
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.

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.

Ultrasound-Guided Percutaneous Catheter Drainage of Large Breast Abscesses in Lactating Women: How to Preserve Breastfeeding Safely

2016 ◽  
Vol 11 (10) ◽  
pp. 555-556 ◽  
Author(s):  
Giuseppe Falco ◽  
Monica Foroni ◽  
Fabio Castagnetti ◽  
Luigi Marano ◽  
Daniele Bordoni ◽  
...  
Keyword(s):  
Percutaneous Catheter Drainage ◽  
Ultrasound Guided ◽  
Catheter Drainage ◽  
Lactating Women ◽  
Percutaneous Catheter ◽  
Large Breast

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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