PMID: 8983609Sep 1, 1996Paper

Changing management of pyogenic liver abscess

The British Journal of Surgery
R RintoulO J Garden

Abstract

The case records of 23 patients who presented over a 5-year period with a diagnosis of pyogenic liver abscess were reviewed. Ascending cholangitis was implicated in nine cases, seven of which were associated with underlying malignancy. Haematogenous spread via the portal route accounted for five cases. Primary treatment included percutaneous abscess drainage in 15 patients. Whereas nine of the 11 patients with benign underlying pathology were managed successfully, the four with malignant biliary obstruction did not survive. Only one of the 23 patients who presented with hepatic abscess required surgical intervention. Percutaneous abscess drainage combined with appropriate antibiotic therapy is an effective means of managing hepatic abscess, but there remains a substantial overall mortality rate resulting from the increasing incidence of malignant biliary obstruction as a cause of this condition.

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Citations

Aug 10, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Shiuan-Chih ChenMeng-Chih Lee
Aug 14, 2010·World Journal of Pediatrics : WJP·Kirtisudha MishraPraveen Kumar
Jun 27, 2001·American Journal of Surgery·J A Alvarez PérezJ I Jorge
Mar 29, 2002·American Journal of Surgery·Masanori Sugiyama, Yutaka Atomi
Aug 9, 2002·Journal of Gastroenterology and Hepatology·Wai-Man WongChing Lung Lai
Jan 1, 2009·BMJ Case Reports·Khalid MannanNarendra Aladangady
Apr 27, 2012·HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery·Barbara AlkoferLaurence Chiche
Mar 26, 2011·BMC Research Notes·Helen M HeneghanRonan Waldron
Nov 23, 2006·AJR. American Journal of Roentgenology·Antonio GiorgioGiovanna Ferraioli
Apr 9, 2008·World Journal of Gastroenterology : WJG·Rustam KhanShaalan Beg
Apr 8, 2011·World Journal of Gastroenterology : WJG·Tony C Y PangRoss C Smith
Apr 17, 2012·Pediatrics and Neonatology·Chun-Chun ChuangWalter Chen
Feb 1, 2002·Enfermedades infecciosas y microbiología clínica·M Leticia MoralejoAntonio Jiménez
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May 22, 2016·The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi·Se Hoon SohnTae Nyeun Kim

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