Scientific Online Resource System

Varna Medical Forum

Piogenic liver abscess in a patient with pre-existing biliary carcinoma

Atanas Lisnichkov, Plamen Chernopolski, Borislav Chaushev, Neli Zgurova, Vasil Bozhkov, Ilko Plachkov, Todor Ivanov, Dilyan Chaushev, Yanko Stefanov, Vyara Draganova, Aneliya Klisarova, Mariya Tsaneva, Rossen Madjov

Abstract

Pyogenic liver abscess is a serious and difficult to diagnose problem. One of the most common causes of liver abscesses are benign and malignant obstruction of the biliary tract. Nowadays mortality varies from 5 to 26%. In more than 90% of patients with biliary-en- teric anastomosis there is retrograde intestinal bacte- rial contamination of bile ducts. Such infection often occurs asymptomatically, but is a major risk factor for the formation of a liver abscess after BEA, especial- ly in the presence of a tumor of the distal part of the bile ducts, which by bleeding, necroticareas and tumor breakdown facilitates the onset and spread of the in- fectious process

Keywords

pyogenic liver abscess; biliary tract carcinoma

Full Text


References

Василев Н.; Ст. Баев; „Жлъчно – чернодробна хирургия „ София 1989. Ст.244-246.

Иванов. К. „Диагностика и лечение на чернодробните абсцеси; Сборник доклади – 12 –ти Национален конгрес по хирургия – 5 -8 октомври 2006г. София; ст. 116-119.

Ковачев Л., Илиев С., Тончев П., Грозев В., Филипов П., Пресолски И., Колев Р., Бачев К. ”Чернодробният абсцес като клинична реалност и хирургичен проблем”; Сборник доклади – 12 –ти Национален конгрес по хирургия – 5 -8 октомври 2006г. София ст. 122-125

Маджов Р., Арнаудов П., Божков В. „Пиогенен абсцес на черен дроб. Диагностично – терапевтична стратегия”; Сборник доклади – 12 –ти Национален конгрес по хирургия – 5 -8 октомври 2006г. София; ст. 127-131

Ахаладзе Г.Г., Церетели И.Ю. Абсцессы печени Отдел хирургии печени (зав. – профессор Э.И. Гальперин) ММА им. И.М. Сеченова; Анналы Хирургической Гепатологии, 2006г, том 11, № 1ст. 97 – 103

AlvarezPérez J.A., González J.J., Baldonedo R.F. etal. Clinicalcourse, treatment, and multivariate analysis of risk factors for pyogenic liver abscess // Am. J. ofSurg. 2001. V. 181. N 2. P. 177–186

Bowers D.E., Robinson D.J., Doberneck R.C. Pyogenic liver abscess // World J. Surg. 1990. 14: 128-132.

Branum G.D., Tyson G.S., Branum M.A. etal. Hepatic abscess: Changesinetiology, diagnosis, and management // Ann. Surg. 1990. V. 212. P. 655–662

Eltawansy SA, Merchant C, Atluri P, Dwivedi S. Multi-organfailuresecondaryto a Clostridium perfringens liver abscess following a self-limited episode of acute gastroenteritis. Am J CaseRep 2015;16:182–186. doi: 10.12659/ AJCR.893046

Huang C./J., Pitt H.A., Lipsett P.A. etal. Pyogenic hepatic abscess. Changingtrendsover 42 years // Ann. Surg. 1996. V. 223. P. 600–609.

Johannsen E.C., Sifri C.S., Lawrence C.M. Pyogenic liver abscesses // Infect. DiseaseClinicsof North America. 2000. V. 14. P. 47–56.

Lee K.T., Sheen P.C., Chen J.S., Ker C.G. Pyogenic liver abscess: Multivariate analysis of risk factors // World J. Surg. 1991. V. 15. P. 372–377

Lübbert C,Wiegand J, Karlas T. Therapy of liver abscesses. Viszeralmedizin 2014;30;334–341. doi: 10.1159/000366579

Mavilia G. Marianna, Marco Molina , George Y. Wu – The Evolving Nature of Hepatic Abscess: A Review; Journal of Clinical and Translational Hepatology 2016 vol. 4: 158 – 168

Meyers W.C., Kim R.D. Pyogenic and amebic liver abscess , Sabiston Textbook of Surgery, 16th ed. 2001. P. 1043–1055.

Mischinger H. J., H.Hauser, H.Rabletal., Pyogenic liver abscess: studies of therapy аnd analysis of risk factors, World J.Surg. 1994, 18, 852 – 858

Pitt H.A. Surgical Management of Piogenic Liver Abscesses // World J. Surg. 1990. V. 14. P. 498–504

Seeto R.K., Rockey D.C. Pyogenic liver abscess changesin etiology, management аnd outcome // Medicine. 1996. V. 75. P. 99–113




DOI: http://dx.doi.org/10.14748/vmf.v6i2.2995

Refbacks

User Guide

Font Size


|