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PYOGENIC LIVER ABSCESS

ANGIOGRAPHIC DIAGNOSIS AND TREATMENT BY CLOSED ASPIRATION

STANLEY B. NOVY M.D.1, SIDNEY WALLACE M.D.2, ARNOLD M. GOLDMAN M.D.3, and YORAM BEN-MENACHEM M.D.4

1 Resident, The University of Texas at Houston Residency Training Program, Houston, Texas.
2 Department of Diagnostic Radiology, The University of Texas System Cancer Center, M. D. Anderson Hospital and Tumor Institute, Houston, Texas.
3 Department of Diagnostic Radiology, The University of Texas System Cancer Center, M. D. Anderson Hospital and Tumor Institute, Houston, Texas.
4 Department of Diagnostic Radiology, The University of Texas Medical School at Houston Hospital (Hermann Hospital), Houston, Texas.

Four cases of pyogenic liver abscess were diagnosed and localized by angiography and liver scan.

Closed drainage by percutaneous aspiration under fluoroscopic guidance was employed for treatment in 2 cases.

The use of closed aspiration along with appropriate antibiotics can decrease morbidity and mortality as well as adequately manage the patient with pyogenic liver abscess.


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