title: [Pyogenic liver abscesses: analysis of 36 cases treated by percutaneous drainage].
abstract: 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.
authors.affiliation: Serviço de Fígado e Med-Imagem do Hospital Beneficência Portuguesa de São Paulo.
authors.forename: L A
authors.initials: LA
authors.lastname: D'Albuquerque
authors.forename: R
authors.initials: R
authors.lastname: Ulflacker
authors.forename: T
authors.initials: T
authors.lastname: Genzini
authors.forename: M P
authors.initials: MP
authors.lastname: de Miranda
authors.forename: T E
authors.initials: TE
authors.lastname: dos Santos
authors.forename: A
authors.initials: A
authors.lastname: de Oliveira e Silva
mesh_terms: 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
chemical_list: D000900:Anti-Bacterial Agents
vernacular_title: Abscessos piogênicos do fígado: análise de 36 casos tratados por punção percutânea.