[Criteria of indication of puncture of amebic liver abscesses. 228 patients].
To clarify the therapeutic role of US-guided in the treatment of amebic liver abscess, three different approach to amebic liver abscess were tested in 228 patients (187 males and 31 females) along 3 years. In a west african endemic area (in Abidjan). All cases were correctly diagnosed by clinical and sonographic findings, and by the pus after percutaneous or chirurgical drainage. The three modes of therapy utilized segregated three distinct group. The first group consisted of 80 patients who were treated medically by metromidazole and ampicillin administered orally. In them, 33 patients have noncollected abscess with a diameter ranged from 2.3 to 12.7 cm (mean 6.6 cm), 23 patients have a collected abscess with a diameter less than 10 cm ranged from 4.1 to 9.7 cm (mean 7.1 cm), 24 patients have a collected abscess with a diameter equal or exceeding 10 cm ranged from 10 to 22.5 cm (mean 14.3 cm). In the second group, there were 124 patients, and they were treated with combined US-guided percutaneous evacuation and medical therapy. In them, 22 patients have a collected abscess with a diameter less than 10 cm ranged from 4.9 to 9.5 cm (mean 7.4 cm), and 102 patients have a collected abscess with a diameter equal or greater than 10 cm (measured 10 cm to 27.5, mean 15.3). There were twenty four patients in the last group, they were treated by open chirurgical drainage because they have an abdominal ruptured abscess. The results with each form of therapy were assessed clinically and by abdominal ultrasound.(ABSTRACT TRUNCATED AT 250 WORDS)
N'Gbesso
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Service de Radiologie CHU de Yopougon, Abidjan, RCI.
Keita
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Djedje
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D000293:Adolescent; D000328:Adult; D000368:Aged; D000553:Ambulatory Care; D003131:Combined Modality Therapy; D004322:Drainage; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization; D006801:Humans; D008101:Liver Abscess, Amebic / Q000150:complications / Q000188:drug therapy / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012422:Rupture, Spontaneous; D013997:Time Factors
Critères de l'indication de ponction des abcès amibiens du foie. 228 patients.