Pyogenic liver abscesses: 13 years of experience in percutaneous needle aspiration with US guidance.

Abstract

US-guided PNA with antibiotic therapy in treatment for PLA is a valid alternative to prolonged catheter drainage.

Pyogenic Liver Abscess: Prospective Evaluation Of USG Guided Percutaneous Therapeutic Aspiration

“…Earlier studies had reported the mean TLC to be 15000cells/mm3 with the range 7500cells/mm3 to 25000cells/mm3. [8] Majority of our patients (86%) had single liver abscess cavity and 94% of our patients had their right lobe involved (Figure No 2).This finding is similar to other studies where solitary abscess and right lobe involvement were most commonly noted [9,10,12,16,17,18] In our study 68% patients had abscess size between 5-8 cm with a mean of 6.5±1.8 (Table 03).It was similar to other studies [6,15,17,19,20] In our study pus culture were positive in 80% patients with E.Coli in 40% cases, Kleibsiella in 10%, staphylococcus in 24% and mixed organism in 06% cases (table no 04). In our study Kleibsiella incidence was less probably due to exclusion of diabetic patients.…”

“…[6,7] Ninety percent of our patients were male and 10% female .So male : female ratio is 9:1. Reports in the literature show there is a male preponderance in a ratio ranging from 10:1 to 17:1 [8,9,10].…”

A prospective study of ultra-sonographic and radiological profile of patients with liver abscess

“…4 With the development of new radiologic techniques, improvement in microbiologic identification, advancement of drainage techniques and operative procedures, the mortality rate has come down to 5-30%.Yet the incidence has relatively remained unchanged and with the treatment, the mortality has come down to normal in those patients attending to hospitals. 4 Most of the patients in present study with liver abscess were in middle age with patients in second to fourth decade accounting for55.2% of the cases which is comparable to other study done by Grorgia et al 5 Siddiqui et al reported that in case of ALA most common age group was 31-40 and in group of PLA 41-50 age group was more affected. 6 In our study there was high incidence of liver abscess in males (77.61%), as seen in a study by Huang et al (96%).…”

Complications of Catheter Drainage for Amoebic Liver Abscess

“…[1][2][3] In adults, imaging-guided percutaneous aspiration and insertion of a pigtail catheter in liver abscess is a well-accepted treatment modality. [2][3][4] Complications that can arise are; secondary infection, bleeding into the abscess cavity, inadvertent catheter misplacement into the IVC and rupture of abscess with spillage into the peritoneal cavity.…”

“…1 Treatment of amebic liver abscess is mainly by anti-amebic drugs and percutaneous drainage of the abscess cavity. [1][2][3] We report a case of amebic liver abscess that presented with complications related to percutaneously inserted catheter drainage.…”