Letter to the Editor
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Hepatol. Feb 27, 2025; 17(2): 103325
Published online Feb 27, 2025. doi: 10.4254/wjh.v17.i2.103325
Hepatic abscess and hydatid liver cyst: European infectious disease point of view
Antonio Giorgio, Emanuela Ciracì, Massimo De Luca, Giuseppe Stella, Valentina Giorgio
Antonio Giorgio, Liver Unit, Athena Clinical Center, Piedimonte 81016, Caserta, Italy
Emanuela Ciracì, Ospedale Civile di Ostuni (BR), Medicina Interna, Ostuni 72017, Brindisi, Italy
Massimo De Luca, Liver Unit, Cardarelli Hospital, Naples 80131, Italy
Giuseppe Stella, Valentina Giorgio, Department of Pediatric and Women, Children and Public Health Sciences, Fondazione Policlinico Universitario “A. Gemelli” IRCCS, Università Cattolica Del Sacro Cuore, Rome 00168, Italy
Co-first authors: Antonio Giorgio and Emanuela Ciracì.
Author contributions: Giorgio A conceived the presented idea, performed the study; Ciracì E based on her knowledge of the clinical problem contributed to write the manuscript; Giorgio A and Ciracì E contributed equally to this article, they are the co-first authors of this manuscript; Giorgio A, De Luca M, Stella G, and Giorgio V wrote the manuscript; Ciracì E, De Luca M, Stella G, and Giorgio V contributed to bibliographical research; and all authors thoroughly reviewed and endorsed the final manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Antonio Giorgio, Professor, Department of Liver Unit, Athena Clinical Center, Via Matese, Piedimonte 81016, Caserta, Italy. antoniogiorgio@clinicathena.it
Received: November 21, 2024
Revised: December 25, 2024
Accepted: January 21, 2025
Published online: February 27, 2025
Processing time: 96 Days and 15.9 Hours
Core Tip

Core Tip: Pyogenic and amoebic liver abscess represent a significant challenge in the diagnosis and treatment of focal bacterial and parasitic infectious hepatic disease, even in European countries. Ultrasound (US) is the first and main imaging tool involved in the diagnosis of these two rare and neglected diseases, respectively. US and US-guided percutaneous drainage of hepatic abscesses, either pyogenic or amoebic, play an essential role in their management. In hydatid liver cyst percutaneous puncture, injection of scolicidal agent with or without reaspiration has been shown to have higher efficacy, fewer complications and hospital stay compared to surgery.