BACKGROUND Bile leaks from the parenchymal transection margin are a major cause of morbidity following major liver resections. The aim of this study was to benchmark the incidence and identify the risk factors for postoperative bile leakage after hepatic resection. PATIENTS AND METHODS A prospective database of 467 consecutive liver resections performed by the University of Cape Town HPB surg...

Bilateral psoas abscesses extending to the gluteal muscle and intrapelvic area are uncommon. We present our experience with computed tomography (CT)-guided percutaneous catheter drainage for the treatment of multiple aggressive abscesses in a diabetic patient. The abscesses completely resolved after the procedures. Psoas abscess should be considered in the differential diagnosis of older diabet...

We report three cases of primary psoas muscle abscess. Two of these cases were treated by open drainage through a lumbar incision and the other was by ultrasonography (USG)-guided percutaneous aspiration of the abscess. Antibiotic therapy was also instituted in all cases. Post-operatively, the patients recovered well with no sign of recurrence. USG-guided percutaneous drainage combined with app...

ERCP (endoscopic retrograde cholangiopancreatography) represents a safe endoscopic procedure and serious complications (perforation, haemorrhage, and acute pancreatitis) are usually uncommon. We present the case of a 38-year-old patient with gallstones in the common biliary duct who developed acute pancreatitis after ERCP. One month later a huge fluid collection with necrotic tissue in the righ...

......................................... Received: 23-05-11 Accepted: 01-06-11 Abstract This is a clinical case of a 71-year-old man with an obstructive lesion of the hepatic hilum, the clinical, imaging studies and the lab tests suggest a Klatskin tumor, which was managed by percutaneous biliary drainage to relieve the jaundice. In this review we consider the pathogenetic factors of these tum...

Perforated choledochal cysts are rare. Traditionally, they have been managed by primary T-tube choledochostomy and interval cystectomy with hepaticojejunostomy. We present here our recent experience with a case of perforated choledochal cyst, which was managed with preoperative percutaneous transhepatic cyst drainage, followed by definite surgery for choledochal cyst, cyst excision, and reconst...

Pancreaticocutaneous fistulas (PCFs) may be refractory to medical therapy or endoscopic retrograde cholangopancreaticography. Four patients underwent endoscopic ultrasound-guided management of refractory PCFs, which were internalized by endoscopic ultrasound-guided transmural puncture of the pancreatic duct (n = 2), fistula tract (n = 1), or both (n = 1), with placement of transmural stents pro...

The treatment of spleen abscess consists ofappropriate systemic antibiotic and removal of pus by percutaneous catheter, splenotomy or splenectomy.3'5 E. corrodens is usually susceptible to a broad-spectrum antibiotic such as ampicillin, cephalosporins, fluoroquinolones and thienamycins.''4 Finally, we choose radiographically guided percutaneous drainage for two reasons: the peripheral location ...

OBJECTIVE To see yield of ultrasound guided percutaneous drainage of abdominal abscesses. SETTING Department of General Surgery Unit I, Lahore General Hospital and North Surgical Unit, Mayo Hospital, Lahore. DESIGN A prospective case-controlled study. SUBJECTS Patients with spontaneous or post operative abdominal abscesses. RESULTS Overall success rate was 96.2%, major complications 11....

The conventional management of pancreatoenteric fistulas and pancreatic abscess with aggressive surgery or percutaneous drainage catheter placement are associated with increased surgery-related morbidity and mortality, and a longer hospitalization. We report here a case of successful closing pancreatoduodenal fistula, which remained open after the percutaneous catheter drainage of pancreatic ab...