scholarly journals Prospective randomized comparison of ultrasound-guided percutaneous needle aspiration with percutaneous catheter drainage of liver abscesses

2019 ◽  
Vol 39 (2) ◽  
pp. 67 ◽  
Author(s):  
Rupinderjeet Kaur ◽  
Paramdeep Singh ◽  
Chaitanya Tapasvi ◽  
Simmi Aggarwal ◽  
Nitin Nagpal ◽  
...  
Keyword(s):  
Needle Aspiration ◽  
Percutaneous Catheter Drainage ◽  
Ultrasound Guided ◽  
Catheter Drainage ◽  
Percutaneous Catheter ◽  
Liver Abscesses

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.

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.

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