Ultrasound-guided percutaneous catheter drainage of various types of ruptured amebic liver abscess: a report of 117 cases from a highly endemic zone of India

Priyadarshi, Rajeev Nayan; Prakash, Vijay; Anand, Utpal; Kumar, Pragya; Jha, Ashish K.; Kumar, Ramesh

doi:10.1007/s00261-018-1810-y

Cited by 23 publications

(35 citation statements)

References 19 publications

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“…The recommended first line of treatment in patients with ruptured ALA is percutaneous drainage (1,4). In patients with unruptured ALA, conservative treatment is commonly recommended.…”

Section: Discussionmentioning

confidence: 99%

Huge Amoebic Liver Abscess in the Left Lobe Treated by Oral Administration of Metronidazole

et al. 2020

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A man in his 60s visited a clinic with chief complaints of a fever and general malaise. Suspecting a liver abscess in the left lobe with infiltration into the subcutaneous fat tissue under the rectus abdominis muscle based on computed tomography findings, we performed fine-needle aspiration. An amoebic liver abscess was diagnosed. Remission was achieved by the oral administration of metronidazole alone without placement of a drainage tube. The results obtained in this case suggest that the first line of treatment should be a noninvasive approach with oral administration alone. Invasive intervention should then be considered depending on subsequent progress.

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“…The recommended first line of treatment in patients with ruptured ALA is percutaneous drainage (1,4). In patients with unruptured ALA, conservative treatment is commonly recommended.…”

Section: Discussionmentioning

confidence: 99%

Huge Amoebic Liver Abscess in the Left Lobe Treated by Oral Administration of Metronidazole

et al. 2020

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“…It has been observed that communication between intrahepatic biliary ducts and amebic abscess almost always heals spontaneously as the abscess is treated effectively by PCD. 11 Similarly, a small aneurysm from amebic abscess tends to resolve as the abscess is promptly treated. Tacconi et al 9 reported an IHPA of 1.5-cm size secondary to ALA which remained asymptomatic during treatment and resolved spontaneously when the abscess was managed with combined medical therapy and needle aspiration.…”

Section: Discussionmentioning

confidence: 99%

Case Report: Spontaneous Resolution of Intracavitary Hepatic Artery Pseudoaneurysm Caused by Amebic Liver Abscess following Percutaneous Drainage

Priyadarshi

Kumar

Anand

2019

The American Journal of Tropical Medicine and Hygiene

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Intrahepatic pseudoaneurysm (IHPA) is generally iatrogenic, and it warrants urgent management because of its reportedly significant risk of rupture leading to considerable mortality. Intrahepatic pseudoaneurysm caused by amebic liver abscess (ALA) is exceedingly rare with fewer than seven published reports. All reported symptomatic cases have been treated with hepatic artery embolization; therefore, little is known about its natural course and effect of abscess drainage on its outcome. We report the first case of symptomatic intracavitary IHPA caused by ALA in which ultrasoundguided percutaneous catheter drainage of the abscess resulted in the spontaneous resolution of the IHPA.

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“…Notably, 32 (27.3%) such patients had free intraperitoneal rupture with diffuse spread and despite complex septations, majority of them could be treated with PCD with success rate of 97% and mortality rate of only 3%. 5 Patients with free rupture required more catheters and longer hospital stay compared with those with contained rupture. In other studies too, where patients had diffuse intraperitoneal rupture, the mortality rates following PCD varied form 0% to 5% with excellent success rates.…”

Section: Management Of Ruptured Amoebic Liver Abscess: Can We Afford Surgical Drainage Today?mentioning

confidence: 95%

Management of ruptured amoebic liver abscess: can we afford surgical drainage today?

Kumar

Priyadarshi

Anand

2020

Frontline Gastroenterol

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Ultrasound-guided percutaneous catheter drainage of various types of ruptured amebic liver abscess: a report of 117 cases from a highly endemic zone of India

Cited by 23 publications

References 19 publications

Huge Amoebic Liver Abscess in the Left Lobe Treated by Oral Administration of Metronidazole

Huge Amoebic Liver Abscess in the Left Lobe Treated by Oral Administration of Metronidazole

Case Report: Spontaneous Resolution of Intracavitary Hepatic Artery Pseudoaneurysm Caused by Amebic Liver Abscess following Percutaneous Drainage

Management of ruptured amoebic liver abscess: can we afford surgical drainage today?

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