ULTRASOUND-GUIDED NEEDLE ASPIRATION OF AMEBIC LIVER-ABSCESS

This prospective study was carried out on 200 patients with clinically , ultrasonographically and serologically confirmed amoebic liver absce ss. The role of ultrasound-guided needle aspiration in addition to med ications was evaluated compared to drug treatment alone. Both the grou ps were monitored clinically and sonographically for up to 6 months af ter diagnosis. The initial response (after 15 days) was better in the aspirated group (P < 0.05) but resolution of abscess after 6 months we re similar. There was a more rapid clinical response in the aspirated group, particularly in those with larger (> 6 cm) abscesses and there were no complications. Percutaneous ultrasound-guided needle aspiratio n is a safe diagnostic and therapeutic approach which enhances clinica l recovery, accelerates resolution, especially in large abscesses, and prevents complications.