ABSTRACT
Objective: The aim of this study was to compare the effectiveness of percutaneous needle aspiration (PNA) and percutaneous catheter drainage (PCD) in the management of hepatic abscess. Methods: The current study includes prospective randomized comparative study of 60 patients admitted in emergency and indoor department at tertiary health care centre, randomized into two groups- Percutaneous needle aspiration (PNA) & Pigtail catheter drainage (PCD). The effectiveness of hepatic abscess is based early recovery period, duration of hospital stay, and clinical improvement status. Results: The recovery rate was significantly improved in catheter drainage group. The analysis showed that outcomes in patients treated with PCD were superior to those in patients treated with PNA in terms of early recovery, clinical improvement and days to achieve a 50% reduction in abscess cavity size. Conclusion: Both PNA and PCD are safe methods of draining hepatic abscesses. However, PCD is more effective than PNA because it facilitates a higher success rate, reduces the time required to achieve clinical relief and supports a 50% reduction in abscess cavity size. However, among successfully treated patients, the outcomes of PNA are comparable with those of PCD.
ABSTRACT
El absceso hepático piógeno es una enfermedad secundaria a un foco primario cuyas vías básicas de infección son: vía biliar y el sistema portal. Se presenta el caso de un paciente de 23 años que presenta dolor a nivel de hemiabdomen superior que refiere haber ingerido un alambre en forma de gancho. Sobre la base de los antecedentes y exámenes complementarios se interpreta la posibilidad de un absceso hepático secundario a un cuerpo extraño. Se realizó drenaje del absceso y yeyunotomía para extracción del cuerpo extraño endoluminal. Actualmente, el paciente se encuentra totalmente recuperado(AU)
Pyogenic hepatic abscess is a disease secondary to a primary focus whose basic pathways of infection are the bile duct and the portal system. The case is presented of a 23-year-old patient with pain at the level of the upper hemiabdomen and who reported having ingested a wire in the shape of a hook. Upon the basis of the antecedents and complementary examinations the possibility is interpreted for a hepatic abscess secondary to a foreign body. Drainage of the abscess and jejunostomy were performed to remove the foreign body from the endoluminal system. Currently, the patient is fully recovered(AU)