Treatment of Pyogenic Liver Abscesses by Percutaneous Needle Aspiration

Berger, Leslie; Osborne, D. R.

doi:10.1016/s0140-6736(82)90381-6

Cited by 107 publications

(28 citation statements)

References 8 publications

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“…Successful direct image guided needle aspiration of hepatic abscesses have been reported in other studies with good outcome. It is considered a simple and harmless technique for diagnosing and treating patient with pyogenic liver abscess [12]. Furthermore, percutaneous needle aspiration of multiple pyogenic abscesses under ultrasound guidance is a safe, effective, low cost procedure that is acceptable to patients and should always be undertaken before catheter drainage or surgery [13].…”

Section: Discussionmentioning

confidence: 99%

Percutaneous drainage of abdominal fluids using available materials: University of Benin teaching hospital experience

et al. 2014

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Section: Discussionmentioning

confidence: 99%

Percutaneous drainage of abdominal fluids using available materials: University of Benin teaching hospital experience

et al. 2014

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“…Since bacterial superin fection of amebic abscess is nonexistent in our experi ence, the retrieval of typical 'anchovy sauce' fluid with negative gram stain and culture will direct to proper treatment of the abscess as amebic. We believe that pyo genic abscess usually should be managed by open drain age after diagnosis and an intra-abdominal source of pri mary infection should be sought, but some authors have utilized percutaneous methods as total therapy [10][11][12].…”

Section: Discussionmentioning

confidence: 99%

Liver Abscess: Strategy for Cost-Efficient Management

Hiatt¹,

Basile²

1986

Dig Surg

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Liver abscess requires prompt therapy but frequently accompanies or mimics other causes of inflammation in the right upper quadrant, and identification may be obscured by associated medical conditions. Ninety-two patients with liver abscesses due to pyogenic (n = 20) or amebic (n = 72) infections were treated at the Harbor-UCLA Medical Center. Admitting diagnoses were acute biliary tract disease in 25 patients, hepatic abscess in 21, hepatitis in 16, appendicitis in 9, and other diseases in 21. Forty patients had major associated medical illnesses. Correct diagnosis of liver abscess was made by a noninvasive radiologic test in 82 patients, laparotomy in 8 and autopsy in 2. Ultrasound-guided percutaneous aspiration was used as an adjunct to management in 17 patients. Diagnosis of liver abscess was confirmed within 24 h of admission in more than half of the patients. Clinical suspicion and an orderly application of radiologic tests provide the key to early diagnosis and therapy. Ultrasonography has an accuracy above 90% and is the screening test of choice, particularly when calculous biliary tract disease figures in the differential diagnosis. The hepatic phase of the HIDA scan may reveal an unsuspected abscess when acute cholecystitis is considered. Computed tomography and liver-spleen scan are useful in selected patients with chronic disease. This strategy will insure speedy diagnosis and minimize cost and length of hospitalization.

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“…Technical details of this procedure have been published elsewhere [51]. A small amount of pus is aspirated under CT or ultra sound guidance for gram-staining, cultures and sensitivity.…”

Section: Treatmentmentioning

confidence: 99%