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Percutaneous drainage for post-traumatic hepatic abscess in children under ultrasound imaging
1Department of Pediatric Surgery, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Insights
Pediatric hepatic abscesses, though rare, can be effectively managed. Ultrasound-guided percutaneous drainage offers a safe and successful treatment for infected traumatic liver hematomas in children.
Area of Science:
- Pediatric Surgery
- Diagnostic Imaging
- Infectious Diseases
Background:
- Hepatic abscess is an uncommon condition in pediatric patients.
- Traumatic liver injuries can predispose to abscess formation.
- Prompt diagnosis and intervention are crucial for favorable outcomes.
Observation:
- A child presented with persistent fever following surgery for perihepatic abscesses.
- The abscess was suspected to have originated from an infected traumatic hematoma.
- Ultrasound-guided aspiration was performed for definitive diagnosis.
Findings:
- Sonographically-guided percutaneous aspiration accurately diagnosed the hepatic abscess.
- Ultrasound-guided percutaneous drainage provided a safe and effective therapeutic solution.
- The patient, despite being poor-risk, showed successful treatment outcomes.
Implications:
- Percutaneous drainage guided by ultrasound is a valuable tool for diagnosing and treating pediatric hepatic abscesses.
- This minimally invasive approach can be safely employed even in critically ill children.
- Highlights the importance of considering infected hematomas in post-traumatic hepatic abscess cases.
Abstract:
Hepatic abscess is rare in children. A patient with a post-traumatic hepatic abscess was successfully treated by ultrasound-guided percutaneous drainage. Although he underwent a drainage operation for the perihepatic abscesses, high fever continued. It was then considered that the traumatic hematoma had been infected and had become an abscess. Sonographically-guided percutaneous aspiration is useful for the definite diagnosis of hepatic abscess. Subsequent percutaneous drainage under ultrasound imaging is a safe and useful therapeutic method even in a poor-risk patient.