Abstract
This prospective study was carried out on 200 patients with clinically, ultrasonographically and serologically confirmed amoebic liver abscess. The role of ultrasound-guided needle aspiration in addition to medications was evaluated compared to drug treatment alone. Both the groups were monitored clinically and sonographically for up to 6 months after diagnosis. The initial response (after 15 days) was better in the aspirated group (P < 0.05) but resolution of abscess after 6 months were similar. There was a more rapid clinical response in the aspirated group, particularly in those with larger (> 6 cm) abscesses and there were no complications. Percutaneous ultrasound-guided needle aspiration is a safe diagnostic and therapeutic approach which enhances clinical recovery, accelerates resolution, especially in large abscesses, and prevents complications.
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Selected References
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- Freeman O., Akamaguna A., Jarikre L. N. Amoebic liver abscess: the effect of aspiration on the resolution or healing time. Ann Trop Med Parasitol. 1990 Jun;84(3):281–287. doi: 10.1080/00034983.1990.11812468. [DOI] [PubMed] [Google Scholar]
- Missalek W. Ultrasonography in the diagnosis of amoebic liver abscess and its complications. Trop Doct. 1992 Apr;22(2):59–64. doi: 10.1177/004947559202200205. [DOI] [PubMed] [Google Scholar]
- Sharma M. P., Rai R. R., Acharya S. K., Ray J. C., Tandon B. N. Needle aspiration of amoebic liver abscess. BMJ. 1989 Nov 25;299(6711):1308–1309. doi: 10.1136/bmj.299.6711.1308. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sheen I. S., Chien C. S., Lin D. Y., Liaw Y. F. Resolution of liver abscesses: comparison of pyogenic and amebic liver abscesses. Am J Trop Med Hyg. 1989 Apr;40(4):384–389. doi: 10.4269/ajtmh.1989.40.384. [DOI] [PubMed] [Google Scholar]
- Thompson J. E., Jr, Doty J., Wittenstein G. J., DenBesten L. Amebic abscess of the liver: surgical aspects. West J Med. 1982 Feb;136(2):103–106. [PMC free article] [PubMed] [Google Scholar]
- Thompson J. E., Jr, Forlenza S., Verma R. Amebic liver abscess: a therapeutic approach. Rev Infect Dis. 1985 Mar-Apr;7(2):171–179. doi: 10.1093/clinids/7.2.171. [DOI] [PubMed] [Google Scholar]
- Widjaya P., Bilić A., Babić Z., Ljubicić N., Bakula B., Pilas V. Amoebic liver abscess: ultrasonographic characteristics and results of different therapeutic approaches. Acta Med Iugosl. 1991;45(1):15–21. [PubMed] [Google Scholar]
- de la Rey Nel J., Simjee A. E., Patel A. Indications for aspiration of amoebic liver abscess. S Afr Med J. 1989 Apr 15;75(8):373–376. [PubMed] [Google Scholar]