Efficacy of Pigtail Drainage of Uncomplicated Liver Abscess

Efficacy of Pigtail Drainage of Uncomplicated Liver Abscess

  • Roop Kishan Kaul Assistant Professor, Department of Surgery, Teerthanker Mahaveer Medical college & Research Centre, Moradabad, India.
  • Naveen Kumar Singh Professor, Department of Surgery, Teerthanker Mahaveer Medical college & Research Centre, Moradabad, India.
  • Rahul Chaudhry PG Resident, Department of Surgery, Teerthanker Mahaveer Medical college & Research Centre, Moradabad, India.
Keywords: Liver, Liver Abscess, Pig tail catheter

Abstract

Background: Liver abscess (LA) is collection of pus in liver parenchyma and can be due to bacterial, parasitic, fungal or mixed infection. Two third cases reported in developing countries are of amebic origin and three fourth in developed countries are of pyogenic origin. Amoebiasis is third common cause of parasitic infastation and is endemic in India. Surgical management was main stay of treatment for LA. Recent evidence has shown that percutaneous catheter drainage (PCD) has a favorable outcome as regards less average stay in the hospital and overall positive outcome regarding morbidity and mortality of patients. Subjects and Methods: It was an analytical cross sectional study carried out on 50 patients with liver abscess admitted in department of general surgery of TMMC & RC, Moradabad from October 2015 to April 2017.  The diagnosis of uncomplicated liver abscess was based on proper history and examination finding of tender liver and ultrasound evidence of uncomplicated unilocular liver abscess with more than 150 cc of pus and without evidence of secondary infections. The patients were examined daily for 72 hours of starting the therapy and only patients who showed improvement were continued on this mode of treatment. Pigtail drainage was done using 16 to 18 F distal tapered polyethylene catheters with trocar under local anesthesia. Results: It was found that maximum cases were hindu males under 30 years of age and 40% required hospital stay of 5 to 10 days. Biliary and bowel pathology was associated in 40% cases and 98% cases had pain abdomen at the time of admission. Right lobe of the liver was involved in 70 % patients and 96% were completely resolved. Duration of drainage of pus was 8.8+/- 2.9 and 50% showed reduction in cavitary size in 5.1+/- 1.5 days.82% patients showed mixed type of infection. Conclusion: Our study concludes that PCD is a better modality of treatment as regards clinical improvement, resolution of cavity and success rate. However early diagnosis in cases of non specific presentation remains a challenge.

Downloads

Download data is not yet available.
Published
2018-03-30
How to Cite
Kaul, R. K., Singh, N. K., & Chaudhry, R. (2018). Efficacy of Pigtail Drainage of Uncomplicated Liver Abscess. Asian Journal of Medical Research, 7(1), SG01-SG04. Retrieved from https://aijournals.com/index.php/ajmr/article/view/251