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[Hepatic abscess: image-guided percutaneous drainage. Technique and indications]
H Ferral1, F Quiroz y Ferrari, J Hernández-Ortiz
1Departamento de Roentgenología, Instituto Nacional de la Nutrición Salvador Zubirán, México, D.F.
Summary
Image-guided percutaneous drainage is an effective treatment for liver abscesses, with an 83.3% success rate in a small patient cohort. This minimally invasive procedure offers a viable option for managing complex liver infections.
Area of Science:
- Hepatology
- Interventional Radiology
- Infectious Diseases
Background:
- Liver abscesses are serious infections requiring prompt and effective treatment.
- Percutaneous drainage is a key intervention for managing liver abscesses.
Purpose of the Study:
- To evaluate the indications, techniques, complications, and clinical outcomes of image-guided percutaneous drainage for liver abscesses.
- To assess the efficacy and safety of percutaneous drainage in a tertiary care setting.
Main Methods:
- Retrospective analysis of six patients undergoing image-guided percutaneous drainage of liver abscesses.
- Inclusion of clinical data, imaging findings, laboratory results, and procedural outcomes.
Main Results:
- Successful drainage in 5 out of 6 patients (83.3%).
- Common symptoms included fever, abdominal pain, and malaise; lab abnormalities showed anemia, hypoalbuminemia, leukocytosis, and elevated alkaline phosphatase.
- Complications included one subcapsular hematoma and one case of gastrointestinal hemorrhage requiring surgery.
Conclusions:
- Image-guided percutaneous drainage is a successful and valuable treatment modality for liver abscesses.
- Careful patient selection and procedural technique are crucial for optimizing outcomes and minimizing complications.