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[Biligenic hepatic and subhepatic abscesses--observations on 9 cases]
Khirurgiia
|January 1, 1993
Summary
This review of 9 pyogenic hepatic and subhepatic abscess cases shows that prompt diagnosis and treatment, including surgical drainage and triple antibiotic therapy, lead to successful outcomes with no mortality, even in patients with diabetes mellitus.
Area of Science:
- Gastroenterology
- Hepatology
- Infectious Diseases
Context:
- Pyogenic hepatic and subhepatic abscesses are serious intra-abdominal infections.
- Biliary tract infections are a common predisposing factor for liver abscess formation.
- Diabetes mellitus is a known risk factor associated with liver abscesses.
Purpose:
- To review a series of pyogenic hepatic and subhepatic abscesses originating from the biliary route.
- To evaluate the diagnostic modalities and treatment strategies employed.
- To assess the outcomes and identify factors influencing mortality.
Summary:
- This review details 9 cases of pyogenic hepatic and subhepatic abscesses attributed to the biliary route.
- Diagnostic imaging included ultrasonography and computed tomographic scans.
- Treatment involved open surgical drainage (8 cases) or percutaneous drainage (1 case) combined with triple antibiotic therapy.
- Five patients had comorbid diabetes mellitus.
- No mortality was observed in this cohort.
Impact:
- Highlights the effectiveness of combined surgical drainage and antibiotic therapy for pyogenic liver abscesses.
- Emphasizes the importance of considering biliary pathology in liver abscess etiology.
- Suggests that prompt and appropriate management can achieve excellent outcomes, including in diabetic patients.