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Percutaneous drainage of pyogenic liver abscesses

Abstract

Twenty-one patients with liver abscesses were treated by percutaneous drainage over a 2 1/2-year period. Percutaneous drainage was successful in 18 (85%) of 21 patients. Complications include 2 inadvertently dislodged catheters, 1 septicemia and 1 pleural effusion. There were 2 deaths. The low morbidity and high success rate in treating hepatic abscesses by percutaneous drainage suggest that this therapy should be tried before operative intervention is considered.

Résumé

Nous avons traité par drainage percutané 21 patients ayant un abcès du foie en deux ans et demi. Le drainage percutané était un succès chez 18 (85) des 21 patients. Les complications comprenaient 2 cathéters arrachés par mégarde, une septicémie et un épanchement pleural. Il y eu 2 décès. Le taux de morbidité peu élevé et le taux de réussite important dans le traitement des abcès du foie par drainage percutané incite à essayer cette thérapie avant d'envisager à une intervention chirurgicale.

Resumen

Veintiun pacientes con abscesos del hígado fueron tratados mediante drenaje percutáneo en un período de 2 1/2 años; el drenaje fue exitoso en 18 (85) de 21 pacientes. Las complicaciones incluyeron 2 catéteres desalojados en forma accidentai, 1 septicemia, 1 derrame pleural. Se presentaron 2 muertes. La baja morbilidad y la elevada tasa de éxito en el tratemiento de los abscesos hepáticos por drenaje percutáneo hace pensar que esta modalidad terapéutica debe ser ensayada antes de considerar intervención operatoria.

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References

  1. 1.

    McFadzean, A.J.S., Chang, K.P.S., Wong, C.C.: Solitary pyogenic abscesses of the liver treated by closed aspiration and antibiotics, a report of 14 consecutive cases with recovery. Br. J. Surg.41:141, 1953

  2. 2.

    Attar, B., Levendoglu, H., Cuasay, N.S.: CT-guided percutaneous aspiration and catheter drainage of pyogenic liver abscesses. Am. J. Gastroenterol.81:550, 1986

  3. 3.

    Gerzof, S., Johnson, W.C., Robbins, A.H., Nabseth, D.C.: Intrahepatic pyogenic abscesses: Treatment by percutaneous drainage. Am. J. Surg.149:487, 1985

  4. 4.

    Johnson, R.D., Mueller, P.R., Ferrucci, J.T., Dawson, S.L., Butch, R.J., Papanicolaou, N., van Sonnenberg, E., Simeone, J.F., Wittenberg, J.: Percutaneous drainage of pyogenic liver abscesses. Am. J. Roentgenol.144:463, 1985

  5. 5.

    Haaga, J.R., Weinstein, A.J.: CT-guided percutaneous aspiration and drainage of abscesses. Am. J. Roentgenol.135:1187, 1980

  6. 6.

    Bertel, C.K., van Heerden, J.A., Sheedy, P.F.: Treatment of pyogenic hepatic abscesses: Surgical vs percutaneous drainage. Arch. Surg.121:554, 1986

  7. 7.

    Bernardino, M.E., Berkman, W.A., Plemonous, M., Sones, P.J., Price, R.B., Casarella, W.J.: Percutaneous drainage of multiseptated hepatic abscess. J. Comput. Axial Tomog.8:38, 1984

  8. 8.

    Braun, B., Pernice, H., Herzog, P., Borner, N., Dormeyer, H.: Diagnosis and therapy of liver abscess by ultrasonographic imaging, puncture and drainage. Hepatogastroenterology30:9, 1982

  9. 9.

    Clark, R.A., Towbin, R.: Abscess drainage with CT and ultrasound guidance. Radiol. Clin. North Am.21:445, 1983

  10. 10.

    Crass, J.R.: Liver abscess as a complication of regional enteritis: Interventional considerations. Am. J. Gastroenterol.78:747, 1983

  11. 11.

    Fischer, M.G., Beaton, H.L.: Unsuspected hepatic abscess associated with biliary tract disease. Am. J. Surg.146:658, 1983

  12. 12.

    Gobien, R.P., Young J.W.R., Curry, N.S., Gobien, B.S., Valicenti, J.R., Reines, H.D.: Computed tomographic guidance of percutaneous needle aspiration and drainage of abdominal abscess. CT6:127, 1982

  13. 13.

    Karlson, K.G., Martin, E.C., Frankuchen, E.I., Schultz, R.W., Casarella, W.J.: Percutaneous abscess drainage. Surg. Gynecol. Obstet.154:44, 1982

  14. 14.

    Kuligowska, E., Connors, S.K., Shapiro, J.H.: Liver abscess: Sonography in diagnosis and treatment. Am. J. Roentgenol.138:253, 1982

  15. 15.

    Kraulis, J.E., Bird, B.L., Colapinto, N.D.: Percutaneous catheter drainage of liver abscess: An alternative to open drainage. Br. J. Surg.67:400, 1980

  16. 16.

    Mandel, S.R., Boyd, D., Jaques, P.F., Staab, E.V.: Drainage of hepatic, intraabdominal and mediastinal abscesses guided by computerized axial tomography. Am. J. Surg.145:120, 1983

  17. 17.

    Novy, S.B., Wallace, S., Goldman, W.M., Menachem, B.: Pyogenic liver abscess. Angiographic diagnosis and treatment by closed aspiration. Am. J. Roentgenol.121:388, 1974

  18. 18.

    Rubinstein, Z., Heyman, Z., Morag, B., Itzchak, Y.: Ultrasound and computed tomography in the diagnosis and drainage of abscesses and other fluid collections. Isr. J. Med. Sci.77:629, 1972

  19. 19.

    Sheinfeld, A.M., Steiner, A.E., Rivkin, L.B., Dermer, R.H., Shemesh, O.V., Dolberg, M.S.: Transcutaneous drainage of abscesses of the liver guided by computed tomography scan. Surg. Gynecol. Obstet.155:662, 1982

  20. 20.

    Stephenson, T.F., Guzzetta, L.R., Tagulinao, O.A.: CT-guided seldinger catheter drainage of hepatic abscess. Am. J. Roentgenol.131:323, 1978

  21. 21.

    van Sonnenberg, E., Ferrucci, J.T., Mueller, P.R., Wittenberg, J., Somone, J.F., Malt, R.A.: Percutaneous radiographically guided catheter drainage of abdominal abscesses. J. Am. Med. Assoc.247:190, 1982

  22. 22.

    Tetz, F.N., Reeves, D.C., Longerbeam, J.K.: Treatment of liver abscesses. Am. J. Surg.126:263, 1973

  23. 23.

    Lang, E.K., Springer, R.M., Glorioso, L.W., Cammarata, C.A.: Abdominal abscess drainage under radiologic guidance: Causes of failure. Radiology159:329, 1986

  24. 24.

    Oschner, A., DeBakey, M., Murray, S.: Pyogenic abscesses of the liver. Am. J. Surg.11:292, 1938

  25. 25.

    Pitt, H.A., Zuidema, G.D.: Factors influencing mortality in the treatment of pyogenic hepatic abscess. Surg. Gyneeol. Obstet.140:228, 1975

  26. 26.

    Satani, B., Davidson, E.D.: Hepatic abscesses: Improvement in mortality with early diagnosis and treatment. Am. J. Surg.135:647, 1978

  27. 27.

    Tadavarthy, S.M., Amplatz, K., Castaneda-Zuniga, W.R.: Drainage of abdominal abscesses. In Interventional Radiology (Golden's Diagnostic Radiology Series), W.R. Castaneda-Zuniga, S.M. Tadavarthy, editors, Baltimore, Williams & Wilkins, 1988, pp. 814–856

  28. 28.

    Pfister, R.C., Newhouse, J.H.: Percutaneous catheter drainage of abscesses and other fluid collections. In Interventional Radiology, C.A. Athanasoulis, R.C. Pfister, R.C. Greene, G.H. Robertson, editors, Philadelphia, W.B. Saunders Co., 1982, pp. 497–508

  29. 29.

    Picus, D., Weyman, P.J., Anderson, D.J.: Interventional computed tomography. In Computed Body Tomography, 2nd edition, J.K.T. Lee, S.S. Sagel, R.J. Stanley, editors, New York, Raven Press, pp. 89–108

  30. 30.

    Onik, G.M., Kerlan, R.: Percutaneous abdominal biopsy and drainage. In Alimentary Tract Radiology, 4th edition, A.R. Margulis, H.J. Burhenne, editors, St. Louis, C.V. Mosby Co., pp. 2081–2098

  31. 31.

    Haaga, J.R.: CT guided procedures. In Computed Tomography of the Whole Body, 2nd edition, J.R. Haaga, R.J. Alfidi, editors, Washington, C.V. Mosby Co., pp. 1200–1320

  32. 32.

    Berger, L.A.: Percutaneous drainage of abscesses and cysts. In Imaging in Hepatobiliary Diseases, R. Dick, M. Viamonte, Jr., S. Sherlock, editors, pp. 203–205

  33. 33.

    Gerzof, G.S.: Catheter drainage of abscesses. In Angiography, 3rd edition, H.L. Abrams, Boston, Little, Brown & Co., 1983, pp. 2335–2348

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Wong, K.P. Percutaneous drainage of pyogenic liver abscesses. World J. Surg. 14, 492–497 (1990). https://doi.org/10.1007/BF01658674

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Keywords

  • Catheter
  • Success Rate
  • Pleural Effusion
  • Avant
  • Operative Intervention