scholarly journals Outcomes of Percutaneous Drainage vs. Antibiotic Therapy Alone or Emergency Surgery in Periappendiceal Abscess

2020 ◽  
Vol 73 (1) ◽  
pp. 10-16
Author(s):  
Walailak Chaiyasoot
Keyword(s):  
Antibiotic Therapy ◽  
Emergency Surgery ◽  
Percutaneous Drainage ◽  
Periappendiceal Abscess

scholarly journals Endoscopic ultrasound-guided drainage of difficult-to-access liver abscesses

2020 ◽  
Vol 8 ◽  
pp. 205031212092127
Author(s):  
Yung Ka Chin ◽  
Ravishankar Asokkumar
Keyword(s):  
Antibiotic Therapy ◽  
Endoscopic Ultrasound ◽  
Percutaneous Drainage ◽  
Guide Wire ◽  
Case Reports ◽  
Case Series ◽  
Caudate Lobe ◽  
Ultrasound Guided ◽  
Liver Abscesses ◽  
Endoscopic Ultrasound Guidance

Objectives: Antibiotic therapy and percutaneous drainage have been the first-line treatments for liver abscesses. However, percutaneous drainage of abscesses may be challenging in difficult-to-access locations such as the caudate lobe. The aim of this review was to determine the indications, technical feasibility and efficacy of endoscopic ultrasound-guided drainage of difficult-to-access liver abscesses. Methods: A literature review of original articles, abstracts, case series and case reports describing endoscopic ultrasound-guided liver abscess drainage was performed. The indications, techniques and complications associated with endoscopic ultrasound-guided drainage were reviewed. Results: A total of 15 studies were identified. The main indications were failed antibiotic therapy and difficulty in gaining percutaneous access. The technique involved identification and puncturing of an abscess under endoscopic ultrasound guidance followed by placement of a prosthesis via a guide wire. The technique was 97.5% successful with no major complications reported. Conclusion: Endoscopic ultrasound-guided drainage was feasible and safe and allowed complete drainage of liver abscesses not accessible by percutaneous drainage.

scholarly journals Spontaneous Subcapsular Renal Hematoma as a Complication of Acute Pyelonephritis: A Case Report

2017 ◽  
Vol 18 (4) ◽  
pp. 357-359
Author(s):  
Ivan Jankovic ◽  
Tomislav Nikolic ◽  
Slobodanka Mitrovic ◽  
Radisa Vojinovic
Keyword(s):  
Surgical Treatment ◽  
Antibiotic Therapy ◽  
Acute Pyelonephritis ◽  
Percutaneous Drainage ◽  
Imaging Techniques ◽  
Left Kidney ◽  
Rare Condition ◽  
Subcapsular Hematoma ◽  
First Choice ◽  
Non Surgical Treatment

AbstractSpontaneous subcapsular renal hematoma (SSRH) emerged as a complication of acute pyelonephritis (APN) is an extremely rare condition. We showed a patient aged 63 years hospitalized due to languor, febrility, abdominal pain accompanied by nausea and vomiting. Ultrasound (US) examination of the abdomen and multidetector computed tomography (MDCT) showed the presence of subcapsular hematoma of the left kidney with calculus in the initial part of the left ureter. Laboratory tests registered a positive inflammation syndrome, anemia and an increase in nitrogen compounds. Based on laboratory results, clinical presentation and imaging techniques it has been found that it is APN with spontaneous subcapsular hematoma. After application of non-surgical treatment which included antibiotic therapy with percutaneous drainage of hematoma, a good clinical response with regression of subjective symptoms and hematoma was obtained. On repeated US and MDCT after 18 months no pathological changes in the kidneys were registered. Spontaneous subcapsular hematoma extremely rare occurs as a result of APN associated with calculosis. The use of non-surgical treatment, which includes appropriate antibiotic therapy with percutaneous drainage of hematoma would represent a method of first choice.

Septic Shock in the Course of Liver Absces Rescued with Percutaneous Drainage – A Literature Review and Case Report

2016 ◽  
Vol 88 (5) ◽  
Author(s):  
Jadwiga Snarska ◽  
Maciej Michalak ◽  
Piotr Masiulaniec ◽  
Krzysztof Jacyna ◽  
Artur Zalewski
Keyword(s):  
Septic Shock ◽  
Case Report ◽  
Systemic Inflammatory Response Syndrome ◽  
Literature Review ◽  
Inflammatory Response ◽  
Antibiotic Therapy ◽  
Pharmacological Treatment ◽  
Percutaneous Drainage ◽  
Good Condition ◽  
Intravenous Antibiotic

AbstractThis study presented a septic shock occurring with striking speed during the percutaneous drainage of a large abscess of the liver in an 18-year-old female patient after an appendectomy performed 3 months earlier using the laparoscopic method because of its phlegmonous and gangraenosus inflammation. The post-operative course was complicated by increased suppuration in places after removal of the trocars. After including the intravenous antibiotic therapy and under the USG control, the percutaneous drainage of the abscess was performed. While withdrawing the guide of the drainage catheter set, the symptoms of septic shock occurred. The pharmacological treatment was applied with continuation of the antibiotic therapy till a negative result of microbiological tests was obtained and the normalization of life parameters. The patient was not qualified for treatment in the ICU. She was discharged in a generally good condition after 24 days of hospitalization. In the case of this patient, the drain covered with the content of the abscess may have contact with the adjacent tiny blood vessels, which may have contributed to the systemic inflammatory response syndrome that was linked with fast-developing sceptic shock.

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