Multiple pyogenic liver abscesses formed after appendectomy: the role of percutaneous drainage in a critically ill patient.

Unlabelled: Multiple pyogenic liver abscesses formed after appendectomy and their percutaneous treatment with multiple catheters have been rarely described. We report a case of multiple pyogenic liver abscesses in a critically ill patient, formed after appendectomy and treated successfully by antibiotics and drainage with six catheters that were introduced simultaneously under ultrasound control. Even though this was a case of liver abscess secondary to appendicitis, today very rare in Western countries, but still a serious complication in developing countries, it was successfully resolved by percutaneous drainage, along with antibiotic therapy.

Percutaneous management of pancreatic abscesses: long term results in a single center.

Background: Several authors consider that surgical intervention is the gold standard for treatment of pancreatic abscesses. Recently, considerable interest has been generated in the minimally invasive management of pancreatic abscess with mixed results reported in the literature.

Aim: To evaluate the efficacy of percutaneous aspiration and/or drainage for patients with pancreatic abscesses.

Step-up approach to infected necrotising pancreatitis: a 20-year experience of percutaneous drainage in a single centre.

Aim: To evaluate the efficacy of step-up approach to infected necrotising pancreatitis.

Methods: Retrospective analysis of 86 patients treated by step-up approach from 1989 to 2009. Infection was confirmed by examination of aspirated material or by presence of free pancreatic gas at contrast-enhanced computed tomography.

[Echinococcosis in Bosnia and Herzegovina].

Echinococcosis is zoonosis transmitted by dogs in livestock-raising areas and accidentally affects man. Disease is endemic in certain parts of the world, including our country particularly region of Herzegovina. The most frequent site of hydatid cysts in the liver (78 %), followed by the lungs (17 %), and less frequently, the spleen, kidneys, heart, bones, central nervous system, and elsewhere.

[Atypical manifestations of celiac disease in an adult woman].

Celiac disease is intolerance to gluten that classically produces chronic diarrhea with a picture of malabsorption and a total villous atrophy. These elements regress completely in a sequential way under a prolonged gluten-free diet. We describe a case of a 35-year-old woman affected by celiac disease who presented atypically, with features including hypoproteinaemia (38g/L) with dominant hypoalbuminaemia (12g/L), weight loss, strong psychoneurotic component and amenorrhoea.