CardioVascular and Interventional Radiology

, Volume 33, Issue 5, pp 1066–1068 | Cite as

Percutaneous Management of Inadvertently Inserted Catheter into Inferior Vena Cava During Liver Abscess Drainage

  • S. H. Chandrashekhara
  • S. GamanagattiEmail author
  • R. Arora
  • P. Goyal
  • A. Saraya
Letter to the Editor


Percutaneous drainage coupled with parenteral antibiotic therapy is a well-accepted and effective primary treatment for liver abscess [1, 2]. This minimally invasive approach has a high clinical success rate and a low complication rate, and it avoids general anesthesia and its attendant risks [3]. Such surgery is generally reserved for concurrent surgical disease, abscess rupture, or failed percutaneous treatment [4, 5]. Rajak et al. compared the efficacy of needle aspiration versus catheter drainage in their study of 50 patients and concluded that percutaneous catheter drainage is more effective than needle aspiration in the treatment of liver abscesses, and needle aspiration, if limited to two attempts, has a high failure rate [6]. Various complications of percutaneous catheter drainage of liver abscesses have been described, such as secondary bacterial infection with an indwelling catheter, contamination of subphrenic, perihepatic, and pleural spaces, rupture of...


Inferior Vena Cava Liver Abscess Catheter Drainage Pigtail Catheter Hepatic Abscess 
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The authors declare that they have no conflict of interest.


  1. 1.
    Cheng DL, Liu YC, Yen MY et al (1990) Pyogenic liver abscesses: clinical manifestations and value of percutaneous catheter drainage treatment. J Formos Med Assoc 89:571–576PubMedGoogle Scholar
  2. 2.
    Johanneen EC, Sifri CD, Madoff LC (2000) Pyogenic liver abscesses. Infect Dis Clin North Am 14:547–563CrossRefGoogle Scholar
  3. 3.
    Giorgio A, Tarantino L, Mariniello N et al (1995) Pyogenic liver abscesses: 13 years of experience in percutaneous needle aspiration with US guidance. Radiology 195:122–124PubMedGoogle Scholar
  4. 4.
    Bardkate MS, Stephen MS, Waugh RC et al (1999) Pyogenic liver abscesses; a review of 10 years experience in management. Aust NZ J Surg 69:205–209CrossRefGoogle Scholar
  5. 5.
    Chou FF, Sheen-Chen SM, Lee TY (1995) Rupture of pyogenic liver abscess. Am J Gastroenterol 90:767–770PubMedGoogle Scholar
  6. 6.
    Rajak CL, Gupta S, Jain S et al (1998) Percutaneous treatment of liver abscess: needle aspiration versus catheter drainage. AJR Am J Roentgenol 170:1035–1039PubMedGoogle Scholar
  7. 7.
    Jonson RD, Mueller PR, Ferruci JT et al (1985) Percutaneous drainage of pyogenic liver abscesses. AJR Am J Roentgenol 144:463–467Google Scholar
  8. 8.
    Chung YFA, Tay KH, Tan BS et al (2003) Percutaneous drainage of liver abscess complicated by hepato-venous fistula. Singap Med J 44:299–301Google Scholar
  9. 9.
    Nesper M, McGahan JP (1985) Hepatobronchial fistula with percutaneous pyogenic abscess drainage of the liver. Gastrointest Radiol 10:129–131CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2010

Authors and Affiliations

  • S. H. Chandrashekhara
    • 1
  • S. Gamanagatti
    • 1
    Email author
  • R. Arora
    • 1
  • P. Goyal
    • 1
  • A. Saraya
    • 2
  1. 1.Department of RadiodiagnosisAll India Institute of Medical SciencesNew DelhiIndia
  2. 2.Department of GastroenterologyAll India Institute of Medical SciencesNew DelhiIndia

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