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Deciphering and Imaging Pathogenesis and Cording of Mycobacterium abscessus in Zebrafish Embryos
10:38

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[Pyogenic liver abscesses].

E Târcoveanu1, N Vlad, R Moldovanu

  • 1Clinica I Chirurgie I. Tănsescu-VI. Buţureanu, Spitalul Sf. Spiridon, Universitatea de Medicină si Farmacie Gr. T. Popa Iaşyi.2 Departamentul de radiologie, Spitalul "Sf. Spiridon" Iapi. etarco@iasi.mednet.ro

Chirurgia (Bucharest, Romania : 1990)
|September 11, 2008
PubMed
Summary
This summary is machine-generated.

Pyogenic liver abscesses present a significant challenge with high postoperative morbidity. Surgical intervention, often open or laparoscopic, is the primary treatment, with percutaneous approaches viable for select cases.

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Posterior Approach for Debridement of the Psoas Abscess
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Area of Science:

  • Hepatology and Infectious Diseases
  • Surgical Gastroenterology
  • Diagnostic Imaging

Context:

  • Pyogenic liver abscesses (PLAs) are relatively rare but pose significant clinical challenges.
  • Advancements in imaging and surgical techniques have evolved PLA management over recent decades.
  • Understanding clinical features, diagnostic modalities, and treatment outcomes is crucial for improving patient care.

Purpose:

  • To retrospectively analyze clinical characteristics, diagnostic imaging, and treatment strategies for pyogenic liver abscesses.
  • To compare outcomes between two distinct treatment periods (1987-1996 and 1997-2007) to identify trends and improvements.

Summary:

  • A retrospective study of 71 patients with PLAs revealed common symptoms, with diabetes, liver cirrhosis, and malignancies as associated conditions.
  • Ultrasound and CT scans were vital for diagnosis, with abscesses predominantly located in the right liver lobe.
  • Surgical treatment, primarily open or laparoscopic, was standard, though percutaneous drainage was used in selected cases. High postoperative morbidity (43.7%) and a mortality rate of 2.81% were observed.

Impact:

  • Highlights the persistent challenge of high postoperative morbidity associated with pyogenic liver abscesses.
  • Emphasizes the critical role of advanced imaging techniques like ultrasound and CT-scan in accurate diagnosis and guiding treatment.
  • Reinforces surgical intervention as the mainstay treatment, with percutaneous options offering an alternative in specific patient profiles.