[Pyogenic liver abscess. Experience with 50 cases].
During the last years the diagnosis and treatment of pyogenic liver abscess has changed substantially. The aim of this work is to report a retrospective analysis of 50 patients aged 24 to 87 years old, that presented with a pyogenic liver abscess and were treated in the last 13 years. The sensitivity for diagnosis of ultrasound examination, CAT scan and angiography was 68, 89 and 75% respectively. The origin of the abscess was detected at the biliary tree in 46% and remained unknown in 38%. Thirty one patients were operated, 13 were subjected to percutaneous drainage and 5 were treated only with antimicrobials. Forty percent of patients had a septic complication and 4 (8%) died. Mean hospital stay was 31 days for operated patients and 21 for the rest. The abscess recurred in seven patients and two of these had a gallbladder carcinoma. It is concluded that percutaneous drainage is an alternative to surgical treatment that must be accompanied by a careful diagnostic workup.
Tapia
A
A
Departamento de Cirugía Digestiva P. Universidad Católica de Chile.
Llanos
O
O
Sharp
A
A
Velasco
A
A
Guzmán
S
S
Ibáñez
L
L
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004322:Drainage; D006801:Humans; D008100:Liver Abscess / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D008875:Middle Aged; D011183:Postoperative Complications; D011677:Punctures; D012008:Recurrence; D012189:Retrospective Studies
D000900:Anti-Bacterial Agents
Absceso hepático piogeno. Experiencia en 50 casos.