Percutaneous lung abscess drainage: revisiting the old gold standard

  • Alessandro Matarese Department of Clinical Medicine and Surgery, Section of Respiratory Disease, University Federico II, Monaldi Hospital, Naples, Italy.
  • Mario Tamburrini | mario.tamburrini@aas5.sanita.fvg.it Interventional Pulmonologist, AAS5 Friuli Occidentale, Pordenone, Italy.
  • Unnati Desai Department of Pulmonary Medicine, TNMC & BYL Nair Hospital, Mumbai, India.
  • Umberto Zuccon Interventional Pulmonologist, AAS5 Friuli Occidentale, Pordenone, Italy.

Abstract

Lung abscess is defined as the necrosis of lung tissue with cavity formation due to varied etiology. The treatment of lung abscesses is medical involving antibiotics and chest physiotherapy. The failure of medical line of management requires an invasive surgical or percutaneous approach for drainage and control of infection. While the literature is ample regarding the surgical approach, it is rather scarce on the percutaneous approach. The percutaneous drainage has been most studied with computed tomography guidance. With our case series we describe to the treatment of lung abscesses non-responsive to medical management, by a bedside minimally invasive ultrasound or fluoroscopy guided percutaneous drainage approach.

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Published
2020-03-06
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Issue
Section
Pneumology - Case Reports
Keywords:
Ultrasound guidance, fluoroscopy guidance, pigtail catheter, lung abscess
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How to Cite
Matarese, A., Tamburrini, M., Desai, U., & Zuccon, U. (2020). Percutaneous lung abscess drainage: revisiting the old gold standard. Monaldi Archives for Chest Disease, 90(1). https://doi.org/10.4081/monaldi.2020.1214