ABSTRACT
Amebic liver abscess is an emergent disease in Spain due to immigration and travel to endemic countries. Although mainly pharmacological, treatment can sometimes require drainage, especially when there is a high risk of rupture due to location or size. We report a case of amebic liver abscess that, due to its large size and lack of response to metronidazole therapy, required percutaneous drainage. This technique, with ultrasound-guided percutaneous aspiration, would be indicated in lesions with a diameter of > 5 cm, abscesses of the left lobe, and those unresponsive to medical treatment.
Subject(s)
Liver Abscess, Amebic/therapy , Suction , Adult , Humans , MaleABSTRACT
El absceso hepático amebiano puede ser una enfermedad emergente en España a causa de la inmigración y los viajes a países endémicos. Su tratamiento, aunque básicamente es de tipo farmacológico, en ocasiones puede requerir un drenaje, sobre todo cuando por la localización o el tamaño hay un alto riesgo de rotura. Presentamos un caso que, por falta de respuesta al tratamiento con metronidazol y su excesivo tamaño, precisó un drenaje percutáneo. Este procedimiento, habitualmente realizado mediante punción-aspiración controlada ecográficamente, estaría indicado en lesiones mayores de 5 cm, en abscesos situados en el lóbulo izquierdo o en casos sin respuesta al tratamiento médico
Amebic liver abscess is an emergent disease in Spain due to immigration and travel to endemic countries. Although mainly pharmacological, treatment can sometimes require drainage, especially when there is a high risk of rupture due to location or size. We report a case of amebic liver abscess that, due to its large size and lack of response to metronidazole therapy, required percutaneous drainage. This technique, with ultrasound-guided percutaneous aspiration, would be indicated in lesions with a diameter of > 5 cm, abscesses of the left lobe, and those unresponsive to medical treatment
