Posted in Volume 16 - Number 1
RAJIB ALI DEENARI, MALIK HUSSAIN JALBANI, MUKHTIAR AHMED ABRO, SHER MUHAMMAD SHAIKH, YASMEEN BHATTI, IMAMUDDIN BALOCH, SAIRA FATIMA
ABSTRACT | Full Text PDF
OBJECTIVE: To determine the efficacy of the ultrasound guided percutaneous catheter drainage of pyogenic liver abscess more than 5cm as a first line treatment.
STUDY DESIGN: Prospective analytic.
PLACE AND DURATION OF STUDY: The study was conducted in the Department of Surgery Unit II, over the period of 2 ½ years (i.e. from March 2006 to August 2008).
MATERIALS AND METHODS: Over the period of 2 ½ years 40 patients with a pyogenic liver abscess >5cm size were studied. Those patients who either failed to respond to medical treatment or in those patients where percutaneous aspiration did not work, were included in this study. The patients with smaller abscess and those who responded to medical therapy were excluded. The response to the treatment was assessed by decrease or deference of fever and shrinkage of abscess size on serial ultrasound scan.
RESULTS: Out of 40 patients 28 (70%) were males and 12 (30%) were females. Mean age was 33.7 years. All the 40 patients were cured with ultrasound guided catheter drainage.
CONCLUSION: The percutaneous catheter drainage under ultrasound guide is the effective treatment in terms of success, hospital stay, and morbidity and mortality rates. Percutaneous catheter drainage should be considered as first line treatment in all the pyogenic liver abscesses >5cm
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