Pyogenic abscesses are rare and difficult problem for modern surgery because of the high mortality rate. After the 70s of the last century the introduction of new image methods as ultrasound diagnostics, percutaneous and direct cholangiography and biliary drainage, guided aspiration, and percutaneous drainage of the abscess cavity dramatically changed both the diagnosis and treatment of these patients. The routine diagnostic methods are ultrasound and CT scan. Percutaneous aspiration and drainage under ultrasound or CT control is applied as first-line treatment of hepatic abscesses.
Scripta Scientifica Medica 2008; 40(2): 137-139.
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