Treatment of pyogenic liver abscesses by percutaneous needle aspiration.

Fifteen patients with solitary or multiple pyogenic liver abscesses diagnosed by ultrasound examination were treated by percutaneous aspiration under ultrasound guidance. The pus obtained was cultured immediately for aerobic and anaerobic organisms and appropriate antibiotic therapy was started. Anaerobic organisms were grown from this pus in nine patients. All patients improved after the aspiration and, apart from further aspirations in two cases, all abscesses healed without further intervention. No patient died from liver abscess or as a result of treatment. The technique is simple and harmless and is the method of choice for diagnosing and treating patients with pyogenic liver abscesses.