Percutaneous catheter drainage of amoebic liver abscess

Imaging and cytopathological correlation of space occupying lesions in liver: a prospective observational study

“…33,34 However, in present study we had a success rate of percutaneous needle aspiration which was significantly lower than with catheter drainage (71% versus 100%, P <0.005). There are some problems with catheter drainage like pain, cellulitis at the insertion site and sometimes catheter dislodgement.…”

Audit of patients with ruptured amoebic liver abscess and outcome of surgical versus non-surgical treatment

“…12 Saraswat et al had used 8F catheter or 12F sump catheter in their study. 13 In our study, one of the two patients who underwent surgery succumbed to septicaemia leading to a mortality (3.3%), low compared to reported rate of 11.4%. 14 The probable reasons for difference in mortality could be patient factors apart from early diagnosis and better OT facilities.…”

A study of the different treatment modalities used in the management of amoebic liver abscesses

“…Haemorrhage and bile leak are uncommon morbidities described. 6,22 Catheter drainage of the liver abscess and drainage of empyema by intercostal drainage tube was also done in one patient for rupture of abscess in pleural cavity in our study. Percutaneous interventions have also been shown to improve outcomes in the treatment of amoebic empyema and catheter drainage could be lifesaving in management of amoebic pericarditis.…”

“…Serial USG was performed to monitor resolution of abscess cavity. 3,6 Surgery was treatment offered in ALA rupture with generalised peritonitis, septicaemia from secondarily infected amoebic liver abscess particularly if catheter drainage fails and erosion of the liver abscess into the surrounding hollow viscus. Surgery involved draining the abscess, opening all the loculi, thorough peritoneal lavage with normal saline and placement of drains in the dependent parts of the peritoneal cavity viz.…”