Surgical treatment of hepatic abscess guided by intraoperative ultrasound
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Abstract
Pyogenic liver abscesses are one of the complications of acute cholecystitis. Its dissemination can occur hematogenous, through the hepatic artery or the portal vein, or through biliary dissemination, due to ascending cholangitis. The germs involved are Escherichia Coli, Klebsiela pneumoniae, Anaerobic Streptococci and Enterococci. The importance of a prompt diagnosis and treatment is based on the severity of the clinical picture and its complications, such as morbidity and mortality. The main risk factors are Diabetes, Hypertension, cholelithiasis and previous abdominal surgery. The purpose of this study is the evaluation of the case and discussion about the forms of treatment and the demonstration of the importance of using the Ultrasound for localization of deep intrahepatic collections.
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Heneghan HM, Healy NA, Martin ST, et al. Research Note BMC 2011; 4:80.
Population-based study of pyogenic liver abscesses in the United States: incidence, mortality, and temporal trend. Am J Gastroenterol 2009; 105:117–24.
Klebsiella pneumoniae liver abscess: a new invasive syndrome. Lancet Infect Dis 2012; 12:881–7.
Huang CJ, Pitt HA, Lipsett PA, et al. Changing trends over 42 years. Ann Surg 1996; 223:600.
Kurland JE, Brann OS. Pyogenic and Amebic Liver Abscesses. Curr Gastroenterol Rep 2004; 6:273–9.
Johannsen CE, Sifri CD, Madoff LC. Pyogenic Liver Abscesses. Infect Dis Clin North Am 2000; 14:547–63.