Case Series
 
Successful percutaneous drainage of large and multiloculated pyogenic liver abscesses in critically ill patients
Evgeni Brotfain1, Leonid Koyfman1, Amit Frenkel1, Leibowitz Akiva1, Kutz Ruslan1, Alexander Zlotnik2, Moti Klein1
1MD, Department of Anesthesiology and Critical Care, Soroka Medical Center, Ben-Gurion University of the Negev, Beer Sheva, Israel.
2MD. PhD, Department of Anesthesiology and Critical Care, Soroka Medical Center, Ben-Gurion University of the Negev, Beer Sheva, Israel.

doi:10.5348/ijcri-2014-01-429-CS-2

Address correspondence to:
Evgeni Brotfain
MD, Department of Anesthesiology and Critical Care
Soroka Medical Center, Ben Gurion University of the Negev
Beer Sheva
Israel
Phone: +972546218106
Email: bem1975@gmail.com

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How to cite this article:
Brotfain E, Koyfman L, Frenkel A, Akiva L, Ruslan K, Zlotnik A, Klein M. Successful percutaneous drainage of large and multiloculated pyogenic liver abscesses in critically ill patients. International Journal of Case Reports and Images 2014;5(1):8–12.


Abstract
Introduction: Pyogenic liver abscess continues to be a fatal illness in gastrointestinal, surgical, and critical care fields. The main clinical strategy in large liver abscesses is continued to be dilemmatic between computed tomography (CT)-guided drainage, wide broad spectrum of antibacterial therapy, and urgent abdominal surgery.
Case Report: Herein, we presented two cases of multiloculated, large liver abscesses in critically ill patients treated successfully by CT-guided drainage and antibacterial therapy.
Conclusion: We strongly suggested that in critically ill patients with large and multiloculated liver abscesses such clinical management might be an effective option of treatment strategy.

Keywords: Multiloculated liver abscesses, Percutaneous drainage, Colonic perforation, CT-guided drainage


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Author Contributions:
Evgeni Brotfain – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Leonid Koyfman – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Amit Frenkel – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Leibowitz Akiva – Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Kutz Ruslan – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Alexander Zlotnik – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Moti Klein - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
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The corresponding author is the guarantor of submission.
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Conflict of interest
Authors declare no conflict of interest.
Copyright
© Evgeni Brotfain et al. 2014; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)