DOI: https://doi.org/10.36347/sasjm.2026.v12i04.026

Pages: 377-382

Background: Hepatic collections, including abscesses, hematomas, and bilomas, represent a significant diagnostic and therapeutic challenge. Interventional radiology offers minimally invasive drainage techniques with high success rates and reduced procedural risk. Objectives: To evaluate the indications, techniques, and outcomes of percutaneous drainage of hepatic collections. Material and Methods: A retrospective study was conducted including 44 patients who underwent radiological drainage of hepatic collections at the University Hospital of Fès between 2022 and 2024. Data collected included drainage indications, techniques, drain type, complications, microbiological results, and patient outcomes. Results: The mean patient age was 56 years. Hepatic abscess was the most common indication [54.5%], followed by infected hydatid cyst [20.4%], biloma [18.3%], subcapsular hematoma [4.5%], and infected metastasis [2.3%]. Ultrasound-guided drainage was performed in 95% of cases. Complete regression was achieved in 79.5% of patients. Complications occurred in 16% of cases, including one case of septic shock and four drain dislodgments. Conclusion: Percutaneous drainage is a safe and effective first-line treatment for hepatic collections, with high success rates when combined with appropriate antibiotic therapy and multidisciplinary management.