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Multiple pyogenic liver abscesses formed after appendectomy: The role of percutaneous drainage in a critically ill patient

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Author(s): Enver Zerem | Alma Sušić

Journal: Acta Medica Academica
ISSN 1840-1848

Volume: 41;
Issue: 2;
Start page: 210;
Date: 2012;
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Keywords: Interventional ultrasonography | Multiple simultaneous drainages | Antibiotic therapy

ABSTRACT
Multiple pyogenic liver abscesses formed after appendectomy andtheir percutaneous treatment with multiple catheters have been rarelydescribed. We report a case of multiple pyogenic liver abscesses in acritically ill patient, formed after appendectomy and treated successfully by antibiotics and drainage with six catheters that were introduced simultaneously under ultrasound control. Even though this was a case of liver abscess secondary to appendicitis, today very rare in Western countries, but still a serious complication in developing countries, it was successfully resolved by percutaneous drainage, along with antibiotic therapy. Conclusion. We emphasize the advantages of percutaneous treatment compared with surgery regarding the avoidance of perioperative complications and the risks of general anesthesia.
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