Pyogenic liver abscess. An audit of experience over the past decade

Archives of Surgery
K M ChuJ Wong

Abstract

To audit our experience in managing patients with pyogenic liver abscesses since 1984 and to identify any risk factor associated with hospital mortality. Retrospective review. A tertiary referral center. Eighty-three patients with pyogenic liver abscesses were studied to determine demographic characteristics; clinical features, laboratory, imaging, and microbiologic findings; methods of treatment; and final outcome. The median follow-up period was 9.8 months. All patients were treated with intravenous antibiotic drugs. Fifty-three patients were to image-guided percutaneous aspiration of the abscess. A percutaneous drainage catheter was inserted after aspiration in 27 patients. Laparotomy was performed in 27 patients; seven of them underwent an elective operation. Hospital mortality, defined as death within the same hospital admission for management of liver abscess. Biliary tract disease was the most frequently identifiable cause. The right lobe abscess was more frequently cryptogenic, while the left lobe abscess was more frequently related to intrahepatic stones (P < .001). The overall hospital mortality rate was 18% (15/83). On univariate analysis, female gender, rupture on presentation, emergency laparotomy, management witho...Continue Reading

Citations

Apr 21, 1998·APMIS : Acta Pathologica, Microbiologica, Et Immunologica Scandinavica·P S Hansen, H C Schønheyder
Feb 22, 2003·Surgical Infections·G B ZibariJ C McDonald
Sep 18, 2007·European Journal of Gastroenterology & Hepatology·José Juan Ruiz-HernándezPedro Betancor-León
Aug 10, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Shiuan-Chih ChenMeng-Chih Lee
May 22, 2016·The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi·Se Hoon SohnTae Nyeun Kim
Jun 4, 2019·BMC Infectious Diseases·Jai Hoon YoonSang Il Kim
Oct 31, 1998·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·J CorredoiraA Coira
Jul 13, 2004·Current Gastroenterology Reports·Jayde E Kurland, Oscar S Brann
Mar 16, 2006·European Journal of Gastroenterology & Hepatology·Antonio SommarivaCarlo Tremolada
Sep 13, 2013·European Journal of Gastroenterology & Hepatology·Siu-Tong Law, Kin Kong Li
Jul 3, 2015·World Journal of Surgery·Vishal G ShelatSameer P Junnarkar
May 10, 2018·Medicine·Cristina SerrainoLuigi Maria Fenoglio
Mar 9, 2019·Internal and Emergency Medicine·Dennis Wen Jie ChiaMui Teng Chua
Mar 13, 1999·The Australian and New Zealand Journal of Surgery·M S BarakateD M Sheldon
May 21, 1999·Radiographics : a Review Publication of the Radiological Society of North America, Inc·V DrnovsekB M Plavsic
Aug 9, 2002·Journal of Gastroenterology and Hepatology·Wai-Man WongChing Lung Lai
Jan 25, 2011·The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi·Yong Hwan KimJi Myung Kim
Apr 9, 2008·World Journal of Gastroenterology : WJG·Rustam KhanShaalan Beg
Aug 14, 2010·The Kaohsiung Journal of Medical Sciences·Kuan-Ting LiuYong-Yuan Chang
Jul 13, 2016·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·M LuoY-L Li
May 11, 2005·Alimentary Pharmacology & Therapeutics·P JepsenH T Sørensen
Apr 27, 2012·HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery·Barbara AlkoferLaurence Chiche
Nov 23, 2006·AJR. American Journal of Roentgenology·Antonio GiorgioGiovanna Ferraioli
Sep 1, 2000·Journal of the American Geriatrics Society·T S DharmarajanR Russell
Nov 6, 2009·The American Journal of Gastroenterology·Liisa MeddingsGilaad G Kaplan
May 8, 2020·Journal of Vascular and Interventional Radiology : JVIR·Noriyuki UmakoshiYasuyuki Onishi
Jun 1, 2010·Journal of the American College of Surgeons·James J MezhirKaren T Brown

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