Abstract
Background: Treatment of pyogenic liver abscesses (PLA) is not well codified yet. Our aim is to compare treatment modalities of PLA that are antibiotics, percutaneous drainage and surgical drainage. Methods: We performed a retrospective analysis of 36 patients with PLA admitted in the Surgery unit of Mongi Slim Hospital between january 2003 and december 2013. Patients were distributed in three groups and compared retrospectively: The first group was treated by antibiotics only. The second group was treated by antibiotics and percutaneous drainage. The third group was treated by antibiotics and surgical drainage, with or without percutaneous treatment. The three groups were matched by age, sex, comorbidities and characteristics of PLA. Patient’s outcomes, including duration of symptoms, length of hospital stay, procedure-related complications, treatment failure and death were recorded. Results: Medium age was 60 years. Sex ratio was 2,27. Ultrasound made diagnosis in 79,4% of cases. Computed tomography showed abnormalities in 97,1% of cases. Mortality rate was 16,6%. Most deaths occured in surgical drainage group. Longest duration of symptoms and hospital stay were found in the group treated by antibiotics only. Procedure-related complications and failure were not significantly different between the three groups. Conclusion: Percutaneous drainage is the best treatment for PLA. Surgical drainage must be undertaken in case of abdominal emergency. Exclusive medical management should be avoided and reserved for small PLA.
Published Version (
Free)
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
