| Hepatic abscess after biliary tract procedures. | |
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MedLine Citation:
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PMID: 2111586 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Seven patients with hepatic abscess that developed after prior operation upon the biliary tract were treated during a two year period. In contrast with the fulminant clinical presentation of hepatic abscess usually associated with acute obstructive suppurative cholangitis, the presentation of hepatic abscess after prior biliary tract procedures was surprisingly indolent; several patients had been treated with oral antibiotics for several weeks or months with the presumptive diagnosis of nonsuppurative cholangitis. Thorough investigation of the entire biliary tree was necessary to identify associated biliary disease, which included biliary-enteric anastomotic stricture, intrahepatic stricture, excluded sectoral bile duct from iatrogenic injury and reflux of abnormally contaminated intestinal contents. Extensive reconstructions of the biliary tract were performed upon three patients. Recurrence of the abscess occurred once after percutaneous and once after surgical drainage and was managed by drainage of the associated excluded sectoral bile duct or fistulojejunostomy. Operative drainage of hepatic abscess after prior biliary operation may be preferable to percutaneous techniques to provide definitive surgical management of associated pathologic findings of the biliary tract. |
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Authors:
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J B Matthews; P Gertsch; H U Baer; L H Blumgart |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Surgery, gynecology & obstetrics Volume: 170 ISSN: 0039-6087 ISO Abbreviation: Surg Gynecol Obstet Publication Date: 1990 Jun |
Date Detail:
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Created Date: 1990-06-25 Completed Date: 1990-06-25 Revised Date: 2009-11-11 |
Medline Journal Info:
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Nlm Unique ID: 0101370 Medline TA: Surg Gynecol Obstet Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 469-75 Citation Subset: AIM; IM |
Affiliation:
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Department of Visceral and Transplantation Surgery, University of Berne, Switzerland. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Biliary Tract Diseases / complications Biliary Tract Surgical Procedures* Drainage / methods Female Humans Liver Abscess / diagnosis, etiology*, microbiology, surgery Male Middle Aged Postoperative Complications* / surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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