Document Detail


Diagnostic and therapeutic strategies of pyogenic liver abscess.
MedLine Citation:
PMID:  8473083     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The infectious routes and etiologies of 26 cases with pyogenic liver abscess were portal spread in one, hematogenous in three, biliary in 12, transarterial embolization (TAE) in three, posthepatectomy in one and cryptogenic in five cases. Portal and hematogenous cases tend to show solitary and cystic pattern on echogram, and the majority of the bacteria detected was Klebsiella. While most biliary cases show multiple and cystic with tumor pattern on echogram, and an unhomogeneous low density in CT feature, anaerobic bacteria and candida were isolated only from the biliary or TAE cases. Most cases could be cured completely by the various kinds of abscess drainage, but two TAE cases with PTAD (percutaneous transhepatic abscess drainage) and two biliary cases with PTBD (PT-biliary drainage) and PTAD died due to a delay in establishing a diagnosis and to the severity of the condition. An early diagnosis followed by PTAD or PTBD were thought to be of prime importance.
Authors:
H Shimada; S Ohta; M Maehara; K Katayama; M Note; G Nakagawara
Related Documents :
9252433 - Scrotal hematoma due to neonatal adrenal hemorrhage: the value of ultrasonography in av...
9385863 - Splenic abscess--case report and review of literature.
9683163 - Glaucomatocyclitic crisis in a child.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International surgery     Volume:  78     ISSN:  0020-8868     ISO Abbreviation:  Int Surg     Publication Date:    1993 Jan-Mar
Date Detail:
Created Date:  1993-05-20     Completed Date:  1993-05-20     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0043524     Medline TA:  Int Surg     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  40-5     Citation Subset:  IM    
Affiliation:
First Department of Surgery, Fukui Medical School, Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Anti-Bacterial Agents / therapeutic use
Combined Modality Therapy
Diagnostic Imaging
Drainage
Female
Humans
Klebsiella Infections / diagnosis*,  etiology,  therapy*
Liver Abscess / diagnosis*,  microbiology,  therapy*
Male
Middle Aged
Suction
Treatment Outcome
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Videoendoscopic thoracic surgery.
Next Document:  Caroli's disease: study of six cases, including one with epithelial dysplasia.