LIVER ABSCESS DRAINAGE

Dr.sandeep Sharma

A pus-filled patch of fluid within the liver is known as a pyrogenic hepatic abscess. Pyogenic denotes the production of pus. A liver abscess can arise from a number of various causes, including a blood infection, an abdominal infection, or an infected abdominal injury. An abscess in the liver is a serious infection. It has the potential to cause major issues and even death. It can cause tissue damage in the spot where it is discovered. Fever, discomfort, nausea, diarrhoea, and loss of appetite are all possible symptoms. The whole first treatment for an amebic liver abscess is amebicidal medicines. The medication of choice is metronidazeole. The size of the abscess is a key determinant in deciding how well medical therapy works. Other treatment options include percutaneous needle aspiration and/or catheter drainage.  The type of abscess that occurs is influenced by one's age. People in their 40s and 60s are more likely to have a liver abscess that is not caused by trauma. 

The following are some of the reasons to drain an amebic liver abscess: A left-lobe abscess with a diameter of more than 10 cm. An impending rupture and abscess that fails to react to medical treatment within 3-5 days. A single or multiple-stage strategy for ultrasound-guided percutaneous drainage can be used.

 The fluid collection is inserted directly using a catheter, commonly 8F or 12F in size, in the one-stage procedure. An interventional radiologist places a small needle into the abscess under imaging guidance (CT, ultrasound, or fluoroscopy) to retrieve a biopsy of the contaminated fluid from an area of the body such as the chest, abdomen, or pelvis.  Image-guided, minimally invasive procedures like percutaneous abscess drainage are typically conducted in an interventional radiology suite or under CT guidance in a separate area of the radiology department by a highly trained interventional radiologist. 

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