Drenaje percutáneo de absceso hepático guiado por ultrasonografía inalámbrica a pie de cama del paciente. A propósito de un caso

Abstract

: Liver abscess is a collection of encapsulated suppurative material located in the liver parenchyma, mostly classified as pyogenic or amoebic. We present the case of a 35-year-old male patient who has presented for a month with recurrent thermal increases and abdominal pain in the right hypochondrium. Ultrasound was performed at the abdominal care point, evidencing oval lesion in liver segments V, VII and VIII, 13 cm x 11 cm x 11 cm, with regular edges, heterogeneous, mixed echo with posterior acoustic reinforcement and internal echoes, without internal vascularization to the Doppler. Empirical antibiotic therapy was indicated and proposed for percutaneous drainage guided by wireless ultrasound. Based on the literature consulted and personal experience, it is advisable to perform percutaneous drainage of this type of abscess, guided by wireless ultrasound at the bedside in selected patients, demonstrating that it is safe, cheap and effective.