Eighteen patients with hepatic abscesses have been drained percutaneously by ultrasonographic guided technique. Five patients had amebic abscesses, while 13 patients suffered from pyogenic abscesses.
The patients were not requiring surgical procedure for a concomitant or a primary cause and were entered the trial after failure of medical treatment. The average time required for catheter drainage ranged from 5 to 16 days. Three cases [16.7%] required replacement of the catheter. Two patients [11.2%] required surgical intervention, for surgical drainage in one case and to deal with subhepatic peritonitis resulted from spillage of infection during percutaneous drainage in the second case. Mild hemorrhage was reported inside one abscess cavity [5.6%] , which was stopped conservatively. The success cure rate was 77.7% which reached up to 88.8% after replacement of a wider catheter. It is concluded that Percutaneous drainage is an effective method for draining hepatic abscesses not requiring a concomitant surgical procedure and not responding to medical treatment. However, surgical intervention may be required at any time with that technique
Mostafa Rezk ,Tamer A. Kamal ,
Percutaneous drainage of hepatic abscesses,
New Egypt. J. Med. 1992;
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