Ultrasonically guided percutaneous treatment of liver abscesses.
Twenty-two patients with liver abscesses demonstrated by ultrasonography (US) were treated over a nine-year period. The diagnosis was in all cases verified by puncture. The patients were treated by US-guided puncture or catheter drainage. Seventeen patients (77%) were cured without surgical drainage. Four patients were cured after subsequent surgical intervention. One patient died later of pancreatic carcinoma. There were no complications from the US-guided therapy. For the treatment of liver abscesses we recommend US-guided drainage as the first choice. Close collaboration between surgeon and radiologist is mandatory since some of these patients still need surgical treatment.
Juul
N
N
Department of Ultrasound, Herlev Hospital, University of Copenhagen.
Sztuk
F J
FJ
Torp-Pedersen
S
S
Burcharth
F
F
D004322:Drainage / Q000379:methods; D005260:Female; D006801:Humans; D008099:Liver / Q000473:pathology*; D008100:Liver Abscess / Q000175:diagnosis / Q000628:therapy*; D008101:Liver Abscess, Amebic / Q000175:diagnosis / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011677:Punctures / Q000379:methods; D014463:Ultrasonography