[Pyogenic liver abscesses: analysis of 36 cases treated by percutaneous drainage].
Thirty-six patients with pyogenic liver abscess treated by percutaneous drainage plus antibiotic therapy were reviewed. The most frequent symptoms were fever (75%) and pain (72.2%), and the most common physical signs were liver enlargement (58.3%) and jaundice (33.3%). The mean time interval from admission to diagnosis was 16 days. CT scans and ultrasonography were diagnostic in 100% of the patients. The percutaneous drainage was effective in one attempt in 19 patients, two attempts in 8, three attempts in 8 patients and more than four attempts in only one patient. There were three patients with hemoperitoneum (8.7%) as a post-drainage complication, one of them needed to be treated surgically. Mean hospital stay was of 24.8 days and the mortality rate was 5.5%. Percutaneous drainage plus antibiotic therapy is then an efficient therapeutic approach to the treatment of pyogenic liver abscess.
D'Albuquerque
L A
LA
Serviço de Fígado e Med-Imagem do Hospital Beneficência Portuguesa de São Paulo.
Ulflacker
R
R
Genzini
T
T
de Miranda
M P
MP
dos Santos
T E
TE
de Oliveira e Silva
A
A
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D003131:Combined Modality Therapy; D004322:Drainage; D005260:Female; D006801:Humans; D008100:Liver Abscess / Q000382:microbiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies
D000900:Anti-Bacterial Agents
Abscessos piogênicos do fígado: análise de 36 casos tratados por punção percutânea.