Image Guided percutaneous pigtail catheter drainage of Liver Abscess technique and its outcome

Authors

  • Bhavika Jain Junior Resident, Department of Radiology, MGM Medical College and Hospital, Aurangabad https://orcid.org/0000-0002-6898-6246
  • Nikita Mantri Junior Resident , Department of Radiology in MGM Medical College and Hospital https://orcid.org/0000-0001-7522-2271
  • Rishika Saraf Junior Resident , Department of Radiology in MGM Medical College and Hospital https://orcid.org/0000-0001-6937-587X
  • Shivaji Pole Associate Professor, Department of Radiology, MGM Medical College and Hospital
  • Devidas Baburao Dahiphale Professor and Head, Department of Radiology, MGM Medical College and Hospital
  • Amol Lahoti Interventional Radiologist, Consultant

DOI:

https://doi.org/10.3126/ajms.v12i7.34897

Keywords:

Hepatic Abscess, Ultrasonography, Pig Tail catheter, Percutaneous drainage

Abstract

Background: Liver abscesses are localized collections of necrotic inflammatory tissue caused by bacterial, parasitic or fungal agents. These abscesses are usually suspected clinically in cases having fever and tender hepatomegaly. The diagnosis is usually confirmed on the basis of imaging such as ultrasound and computerised tomography. Management includes antimicrobial agents and drainage of abscess. Percutaneous drainage of abscess is done using needle aspiration or catheter drainage.

Aims and Objective: The main aim of the study was to evaluate the role of pigtail catheterization drainage procedure as a treatment option in cases of liver abscess.

Materials and Methods: It was a prospective study conducted ata tertiary care medical college. Fifty patients having hepatic abscess were included in this study over a period of one year from August 2018 to September 2019 on the basis of a predefined inclusion and exclusion criteria. These patients underwent pigtail catheterization of liver abscess as a treatment. The demographic characteristics, hepatic lobe involvement, offending organisms and complications were studies in these patients.

Results: Out of 50 patients 35 were male and 15 were femalewith a M: F ratio of 1:0.42. The age ranged from 4 years to 92 years. The mean age of the studied cases was found to be 38.64 +/- 18.17 years. Right lobe was involved in predominant cases. most common individual organism involved in hepatic abscess formation was klebsiella (30%) followed by streptococcus (20%) and E-coli (8%) organisms. Seven patients developed procedure related complications out of which 5 patients had catheter dislodgment requiring repositioning of catheter 1 patient developed pus discharge from catheter site and remaining 1 patient developed subcapsular hematoma.

Conclusion: Percutaneous image guided pigtail catheter of liver abscess is an effective minimal procedure as a treatment option for liver abscess with high success rate with no mortality related to procedure.

Downloads

Download data is not yet available.
Abstract
1027
PDF
958

Downloads

Published

2021-07-01

How to Cite

Jain, B., Mantri, N., Saraf, R., Pole, S., Dahiphale, D. B., & Lahoti, A. (2021). Image Guided percutaneous pigtail catheter drainage of Liver Abscess technique and its outcome. Asian Journal of Medical Sciences, 12(7), 82–87. https://doi.org/10.3126/ajms.v12i7.34897

Issue

Vol. 12 No. 7 (2021)

Section

Original Articles

License

Authors who publish with this journal agree to the following terms:

  1. The journal holds copyright and publishes the work under a Creative Commons CC-BY-NC license that permits use, distribution and reprduction in any medium, provided the original work is properly cited and is not used for commercial purposes. The journal should be recognised as the original publisher of this work.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).