Imaging-Guided Percutaneous Needle Aspiration or Catheter Drainage of Neonatal Liver Abscesses: 14-Year Experience

Abstract

Neonatal liver abscess is associated with good long-term outcome and minimal complications when imaging-guided percutaneous aspiration or drainage is performed in conjunction with long-term antibiotic coverage.

Identification of high-risk group and therapeutic options in children with liver abscess

“…PCD was performed in 18 cases and was successful in 16/18 (88.8%), whereas two of these cases required surgery. There is scanty data regarding safety and effectiveness of PCD in children [18]. In a randomized controlled trial comparing aspiration and catheter drainage in adults with LA, Rajak et al [28] found PCD to be more effective than PNA (success rate 100% vs. 60%; p<0.05).…”

“…There is limited amount of data on the pediatric population, mostly in the form of case reports on percutaneous catheter drainage (PCD) [18,19,32].…”

Clinical, laboratory and management profile in patients of liver abscess in central India

“…Surgical intervention has the advantage of thorough exploration of the abdomen and extirpation of known or unsuspected primary foci of infection that might not have been detected in imaging. [13][14][15] We recommend trans peritoneal surgical drainage to allow abdominal exploration and thorough exploration of the liver for multiple hepatic abscesses, although laparoscopic drainage has shown excellent result in some patients. From our series it is difficult to evaluate which type of drain is best.…”

Liver abscess in neonates

“…Needle aspiration appears to be safe and effective [10] if used in conjunction with appropriate antibiotics provided a rapid response is obtained as is illustrated by this series. This study does not support the suggestion that early drainage speeds up resolution, limits the length of intravenous antibiotic course as 50% responded to antibiotic therapy alone.…”