title: [Diagnosis and treatment of liver abscess after orthotopic liver transplantation].
abstract: OBJECTIVE
  To investigate etiology, diagnosis, treatment and prophylaxis of liver abscess after orthotopic liver transplantation (OLT).
  
  
  METHODS
  Of 274 recipients of OLT from January 1993 to June 2003 in our transplant center, liver abscess were identified in 6 recipients (2.2%). The clinical presentation included fever, shiver, abdominal pain, jaundice, hepatic dysfunction, hypoalbuminemia, anemia, leukocytosis and neutrophilia. They were diagnosed mainly according to the clinical presentation and Ultrasonography or CT scan. The treatments included aspiration and drainage of abscess, removing bile sludge, antibiotics and supportive therapy.
  
  
  RESULTS
  Of 6 patients, 2 were cured, 3 refused liver retransplantation and 2 died of serious systemic infection. The cure rate was 33.3%.
  
  
  CONCLUSIONS
  the etiology of liver abscess after OLT is complicated. The predisposing factors might be included hepatic artery thrombosis or stenosis, MP pulse therapy, cholangitis and biliary interventional therapy. Its prognosis seemed disappointing. Strong prophylactic measures should be recommended to reduce the liver abscess after OLT.
authors.affiliation: Transplant Center, First Affiliated Hospital of Zhongshan University, Guangzhou 510080, China.
authors.forename: Gen-shu
authors.initials: GS
authors.lastname: Wang
authors.forename: Gui-hua
authors.initials: GH
authors.lastname: Chen
authors.forename: Xiao-shun
authors.initials: XS
authors.lastname: He
authors.forename: Xiao-feng
authors.initials: XF
authors.lastname: Zhu
authors.forename: Min-qiang
authors.initials: MQ
authors.lastname: Lu
authors.forename: Yang
authors.initials: Y
authors.lastname: Yang
authors.forename: Chang-jie
authors.initials: CJ
authors.lastname: Cai
authors.forename: Guo-dong
authors.initials: GD
authors.lastname: Wang
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008100:Liver Abscess / Q000175:diagnosis* / Q000517:prevention & control / Q000628:therapy; D016031:Liver Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged