XXXX : the role of percutaneous catheter drainage.

@entity1 @entity9111 @entity8016
The failure of medical therapy for @entity9111 may be followed by its perforation, a complication associated with high mortality. We assessed the role of percutaneous catheter drainage in management of the sequelae of @entity8016 in 13 critically ill @entity1 ; 22 intrahepatic lesions, three of which were multiloculated, were drained. Catheters were also placed in 17 extrahepatic collections: pleural space (n = 5), subphrenic (n = 7), perihepatic/subhepatic (n = 3), greater sac of peritoneum (n = 2). No attempt at percutaneous drainage failed. Prompt resolution of clinical features following drainage was a uniform feature. Successful resolution of the abscesses occurred within 20 days in 11 @entity1 . In the remaining two, catheters needed to be retained in situ for 35 and 50 days. The mean hospital stay was 15 days (range 10-20 days). 100% @entity1 survival was achieved, without a single morbid episode. Our results suggest that @entity1 with @entity8016 can be effectively and safely managed by percutaneous catheter drainage irrespective of the extent of extrahepatic contamination.
