Intraperitoneal rupture of amebic liver abscess.
The traditional management of amebic liver abscess which has ruptured into the peritoneal cavity has been conservative and 70% to 90% fatal. Laparotomy with complete toilet of the abscess and the peritoneal cavity has shown encouraging results. A comparative study of the management of 36 cases of intraperitoneal rupture of amebic liver abscess was carried out. Twenty-one cases were treated by laparotomy with 85.5% survival. Mortality for 15 cases treated conservatively was 80%. We believe that intraperitoneal rupture of amebic liver abscess can now be treated by laparotomy with much better results than were possible before the advent of drugs such as metronidazole.
D000328:Adult; D002675:Child, Preschool; D004322:Drainage; D004640:Emetine / Q000627:therapeutic use; D006801:Humans; D007813:Laparotomy; D008101:Liver Abscess, Amebic / Q000150:complications* / Q000601:surgery; D008297:Male; D008795:Metronidazole / Q000627:therapeutic use; D008875:Middle Aged; D010529:Peritoneal Cavity; D011182:Postoperative Care; D011300:Preoperative Care; D012382:Rolitetracycline / Q000627:therapeutic use; D012422:Rupture, Spontaneous; D013396:Suction
D008795:Metronidazole; D012382:Rolitetracycline; D004640:Emetine