pyogenic liver abscess: review of 54 cases

نویسندگان

mohammad ghaemi department of surgery, imam reza hospital, mashad university of

چکیده

background: historically open surgical drainage has been the treatment of choice for pyogenic liver abscess. the records of 54 patients with pyogenic liver abscess were reviewed to determine whether earlier diagnosis with current imaging tests and definitive treatment with antibiotics and aspiration drainage was an effective alternative to surgery. methods: the clinical features, laboratory tests, imaging, and microbiologic findings, management strategy and final outcome were studied. results: twenty-nine patients were treated with broad-spectrum antibiotics and diagnostic aspiration. twenty-three (79%) recovered uneventfully, and six required catheter or operative drainage. twenty-three patients (including five who failed aspiration) underwent drainage with percutaneusly placed catheters. nineteen (83%) recovered, four required open drainage, and of seven patients who required open drainage, six recovered. one (2%) of the 54 patients died following failed aspiration and catheter and surgical drainage. four patients were successfully treated with antibiotics alone without aspiration. conclusion: this study confirms that pyogenic liver abscess can be successfully treated with broad spectrum antibiotics and aspiration or percutaneous catheter drainage. open surgical drainage is reserved for patients in whom treatment fails or who require celiotomy for concurrent disease.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

PYOGENIC LIVER ABSCESS: REVIEW OF 54 CASES

Background: Historically open surgical drainage has been the treatment of choice for pyogenic liver abscess. The records of 54 patients with pyogenic liver abscess were reviewed to determine whether earlier diagnosis with current imaging tests and definitive treatment with antibiotics and aspiration drainage was an effective alternative to surgery. Methods: The clinical features, laborator...

متن کامل

Pyogenic Liver Abscess.

On examination, she was febrile, toxic and was complaining of pain in the shoulder joint. The examination of the shoulder joint was normal. Liver was enlarged 5 cm below the right costal margin and was tender. She did not have intercostal tenderness. The white cell count showed a neutrophil leucocytosis with a total count of 16.8 x 10 9 /L. Ultra sound scan of the abdomen revealed a large absce...

متن کامل

[Pyogenic liver abscess].

At the turn of the century, the mortality from liver abscess was 100%. Surgical drainage reduced the mortality to 50 to 75% by 1930. Antibiotics led to a further reduction but there was little change in the mortality during the next 25 years until recently when the adoption of special localization techniques promised a great improvement. In the nineteenth century a common cause of liver abscess...

متن کامل

Pyogenic Liver Abscess: an Analysis of 123 Cases

Background: Pyogenic hepatic abscesses are uncommon conditions that present diagnostic and therapeutic challenges to Surgeons. If left untreated, these lesions are invariably fatal. Pyogenic Liver Abscess (PLA) has lower mortality rate in recent year due to the modern management of liver abscesses, facilitated by advances in diagnostic and interventional radiology and improved intensive care se...

متن کامل

Pyogenic abscess of the liver.

The author records the case histories of 27 patients suffering from liver abscess admitted during the period 1946-60 to the Radcliffe Infirmary, Oxford. Seventeen were examples of multiple and 10 of single abscess. In most cases the primary source was determinable. Despite there being only one survivor of the 10 patients with a solitary abscess, the author considers the condition easily curable...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
medical journal of islamic republic of iran

جلد ۱۹، شماره ۳، صفحات ۲۰۱-۲۰۶

کلمات کلیدی

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023