An update on the drainage of pyogenic lung abscesses
- PMID: 22347342
- PMCID: PMC3277038
- DOI: 10.4103/1817-1737.91552
An update on the drainage of pyogenic lung abscesses
Abstract
Most lung abscesses (80-90%) are now successfully treated with antibiotics; however, this conservative approach may occasionally fail. When medical treatment fails, pulmonary resection is usually advised. Alternatively, percutaneous transthoracic tube drainage or endoscopic drainage can be considered, though both remain controversial. In this communication, the medical literature focusing on percutaneous tube drainage efficacy, indications, techniques, complications, and mortality, as well as available data regarding endoscopic drainage are reviewed.
Keywords: Percutaneous drainage; endoscpoic drainage; pyogenic lung abscess.
Conflict of interest statement
References
-
- Neuthof H, Touroff ASW. Acute putrid abscess of the lung. Hyperacute variety. J Thorac Surg. 1942;12:98–106.
-
- Monaldi V. Endocavitary aspiration in the treatment of lung abscess. Dis Chest. 1956;29:193–201. - PubMed
-
- Shim C, Santas GH, Zelefsky M. Percutaneous drainage of lung abscess. Lung. 1990;168:201–7. - PubMed
-
- Kosloske AM, Ball WS, Jr, Butler C, Musemeche CA. Drainage of pediatric lung abscess by cough, catheter, or complete resection. J Pediatr Surg. 1986;21:596–600. - PubMed
-
- Klein JS, Schultz S, Heffner JE. Interventional radiology for the chest: Imaging-guided percutaneous drainage of epidural effusions, lung abscess, and pneumothorax. AJR. 1995;165:581–8. - PubMed