Examination of Patients Undergoing US-Guided Drainage for Liver Abscesses

• Published in: Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) Vol. 23; no. 7; pp. 1047 - 1052
• Main Authors: Matsuo, Hideki, Aoyagi, Shigeaki, Nishimura, Kazunori, Kinoshita, Hisafumi, Shirouzu, Kazuo, Kawahara, Ryuichi
• Format: Journal Article
• Language: Japanese
• Published: Japanese Society for Abdominal Emergency Medicine 2003; 日本腹部救急医学会
• Subjects: 穿刺ドレナージ術; 肝膿瘍
• ISSN: 1340-2242; 1882-4781
• DOI: 10.11231/jaem1993.23.1047

Subjects were 29 patients undergoing drainage for liver abscesses, including 3 undergoing repeated drainage, in the last 20 years. They were 16 men and 10 women with a mean age of 59.9 years, a mean bospitalization of 74.8 days, and a mean drain insertion duration of 38.6 days. Most patients reporped fever. Of these, 9 had hepatocellular carcinoma, comprising the highest percentage. Seven underwent drainage before surgery and 22 after ward. Ten underwent hepatectomy (including micro-wave coagulonecrosis therapy), comprising the highest percentage. Staphylococcus epidermidius was detected in 8. Communication with the bile duct was observed in 8 and th with the duodenum, large intestine, or bronchus in 1 each. We discuss the clinical features of liver abscess and US-guided drainage as a strategy for liver abscess, its indications and procedures.