IntroductionA liver abscess is an important health concern in tropical countries. Effective management of liver abscesses includes appropriate antibiotics and drainage of the abscess cavity. Percutaneous abscess drainage by pigtail catheterization is now gaining popularity. We analyzed the role of pigtail catheter drainage over percutaneous aspiration in the treatment of liver abscesses. Methods and materialThis was a retrospective analytical study conducted in a tertiary care center in western India. Patients of age ≥ 18 years admitted with the diagnosis of liver abscess were included in this study. To find the effectiveness of different treatment modalities, data were analyzed in three groups: Group A (Conservative treatment), Group B (Percutaneous needle aspiration), and Group C (Pigtail catheter drainage). ResultsA total of 64 patients with a liver abscess were analyzed. There was male predominance (93.75%). Mean abscess volume in Group C (307.9 ± 212.8 ml) was significantly higher when compared to Group A (130.8 ± 72.9 ml, p = 0.03) and Group B (177.2 ± 129.5; p = 0.024). The duration of hospital stay and residual abscess volume at the time of discharge did not show a statistically significant difference between treatment groups. Pigtail catheterization of abscesses with volume >150 ml shortened the hospital stay, whereas it prolonged the hospital stay in patients with abscess volume <150 ml. ConclusionPercutaneous pigtail catheterization would be an operative decision for the management of liver abscess. We concluded that the use of pigtail catheterization of patients with abscess volume > 150 ml improved the clinical outcome.

Introduction – Liver abscess (especially amoebic) is an important health concern in tropical countries. Effective management of liver abscess included appropriate antibiotics and drainage of abscess cavity. Percutaneous abscess drainage by pigtail catherization is now gaining popularity. We analysed the role of pigtail catheter drainage in the treatment of liver abscess.Method and Material – This was a retrospective analytical study conducted in a tertiary care center in western India. Data of total 64 patients admitted with diagnosis of liver abscess were analyzed. To find the effectiveness of treatment data were analyzed in three groups based on treatment strategies, Group A (Conservative treatment), Group B (Percutaneous needle aspiration) and Group C (Pigtail catheter drainage).Results – A total of 64 patients of liver abscess were analyzed. There was male predominance (93.75%). Mean abscess volume in Group C (307.9 ± 212.8 ml) was significantly higher when compared to Group A (130.8 ± 72.9 ml, p = 0.03) and Group B (177.2 ± 129.5; p = 0.024). Duration of hospital stay and residual abscess volume at the time of discharge did not show statistically significant difference between treatment groups. Pigtail catheterization of abscess with volume >150ml shortened the hospital stay, whereas it prolonged the hospital stay in patients with abscess volume <150ml.Conclusion - Percutaneous pigtail catherization would be an operative decision for management of liver abscess. We concluded that use of pigtail catherization of patients with abscess volume > 150ml improved the clinical outcome.

Tumour-induced osteomalacia due to thymolipomaTumour-induced osteomalacia (TIO) is a rare paraneoplastic syndrome due to secretion of fibroblast growth factor-23 (FGF-23) from tumours located in extremities or head and neck and rarely in the thorax. [1][2][3][4] We report a patient with TIO caused by a thymus tumour. The patient recovered following resection.A 31-year-old woman presented with bilateral hip and thigh pain with difficulty in walking for the past 4 years. She was bedridden but did not suffer from any other systemic illness or fractures. Neurological

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