J Korean Radiol Soc.  1995 Jan;32(1):93-98.

Treatment of Lung Abscess: Effectiveness of Percutaneous Catheter Drainage in 14 Patients

• Jeong SH
• Han YM
• Kim CS
• Chung GH
• Ryu CS
• Sohn MH
• Choi KC

Abstract

PURPOSE
To evaluate the effectiveness of percutaneous catheter drainage in treatment of the lung abscess.
MATERIALS AND METHODS
We treated the lung abscesses in 14 patients(12 men, 2 women), who did not respond to medical therapy, by percutaneous catheter drainage under fiuoroscopic or ultrasound guidance. One abscess due to infacted bulla was managed by combination treatment with alcohol sclerosing therapy. Patients were followed by serial chest radiographs every three days and the amount of drained or aspirated pus evaluated. The treatment effect and recurrence were followed by chest PA and lateral chest at one week after removal of drainage catheter.
RESULTS
Thirteen patients(93%) recovered clinically and radiologically within 3 days. In 10 patients, drainage catheter could be removed within 2 weeks, and three patients, the catheter was keept longer. Most complications were mild ;vague to moderate chest pain(n=14), mild hemoptysis(n=2), and pneumothorax(n=I). One man who suffered from far advanced pulmonary tuberculosis died of asphyxia caused by massive hemoptysis 16 days after percutaneous drainage.
CONCLUSION
Percutaneous catheter drainage is a safe and effective method for treating lung abscess.

MeSH Terms

Abscess
Asphyxia
Catheters*
Drainage*
Hemoptysis
Humans
Lung Abscess*
Lung*
Male
Radiography, Thoracic
Recurrence
Suppuration
Thorax
Tuberculosis, Pulmonary
Ultrasonography