The clinical presentation of pyogenic liver abscess

Young, A. E.

doi:10.1002/bjs.1800630313

Cited by 29 publications

(6 citation statements)

References 15 publications

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“…Leukocytosis was seen in 82.6% of our patients. In accordance with the literature, our data revealed that a high WBC count was the most reliable hematologic abnormality that predicted a high risk of mortality [12,14,22,30].…”

Section: Discussionsupporting

confidence: 91%

“…There are still differences of opinion regarding the roles of these two procedures [1,4,33]. In one study, in 30% of patients whose abscesses were drained percutaneously, the abscess failed to resolve, necessitating revision surgery [30]. This controversy is difficult to resolve because different methods were used that are not directly comparable.…”

Section: Discussionmentioning

confidence: 99%

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Pyogenic liver abscess: Studies of therapy and analysis of risk factors

Häuser

Rabl

et al. 1994

World j. surg.

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Experience with 46 patients diagnosed with liver abscesses over a 13-year period was reviewed to ascertain the impact of percutaneous versus surgical drainage. In most of the cases the abscesses were diagnosed by sonography or computed tomography. The most common pathogenetic mechanism was ascending biliary tract infection. Of the 46 total patients, 27 were primarily treated surgically, whereas 19 underwent percutaneous drainage. In the surgical group five (18.5%) patients required reoperation. Percutaneous drainage failed in four patients (21.1%). Multivariate stepwise logistic regression analysis revealed that a high APACHE II score, low hemoglobin level, and high serum bilirubin level were significant predictors of a complicated clinical course. Death was related more closely to the overall condition of the patient, as expressed by a high APACHE II score, and the underlying disease (malignancy) than to the mode of therapy.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Pyogenic liver abscess: Studies of therapy and analysis of risk factors

Häuser

Rabl

et al. 1994

World j. surg.

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“…Except for Dehner and Kissane's autopsy series' (27 cases in 50 years) and Chusid's review' (five cases in 20 years), there are only scattered case reports in the literature. [3][4][5][6][7][8][9][10][11][12][13] Recently, the incidence of hepatic abscess appears to be on the increase, probably because of the increasing awareness of the disease and availability of better diagnostic tech- 14,15 We have observed five cases of pyEver abscess children, all diagnosed clinically at the Institute of Child Health, Kabul over a period of three years (1978)(1979)(1980).~t er~~~ and Methods…”

mentioning

confidence: 99%

Pyogenic Liver Abscesses in Children

Arya¹,

Ghani²,

Abdali³

et al. 1982

Clin Pediatr (Phila)

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Five children with pyogenic liver abscess were admitted to Institute of Child Health, Kabul during the period 1978 to 1980. All patients were males, and their ages ranged from 4 to 10 years. The clinical picture was characterized by fever, upper abdominal pain, enlarged tender liver with raised right dome of the diaphragm. The abscesses were located in the right lobe of liver in all cases, and they were solitary in three cases. Staphylococcus aureus was the etiologic agent in four cases and Escherichia coli in one. Open surgical drainage coupled with prompt parenteral antibiotic therapy in all cases seem to have favorably influenced the outcome. With a high index of suspicion pyogenic liver abscess in children can be diagnosed clinically without the aid of hepatic radionuclide scanning.

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“…Pyogenic liver abscess is found in about 1% of postmortem examinations [1]. The rarity of this condition and the non specific clinical presentation makes the diagnosis difficult [2]. The mortality rate approaches 100% in untreated cases [3].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Cutaneous Rupture of a Pyogenic Liver Abscess

2010

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Spontaneous rupture of a pyogenic liver abscess is a rare entity reported. Spontaneous cutaneous rupture of a pyogenic liver abscess is even a rarer clinical entity not well documented in the literature. A patient having spontaneous cutaneous rupture of a pyogenic liver abscess is reported. The condition is rare and serious because of the possible delay in diagnosis. Recently, with the advent of ultrasound (USG) and computed tomography (CT) scan, there has been improvement in the rate of early diagnosis of liver abscess as well as in prognosis. The clinical presentation is variable; in some cases there are delays, misdiagnoses, or incidental recovery. Per cutaneous catheter drainage under USG or CT guidance has become the standard of care.

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The clinical presentation of pyogenic liver abscess

Cited by 29 publications

References 15 publications

Pyogenic liver abscess: Studies of therapy and analysis of risk factors

Pyogenic liver abscess: Studies of therapy and analysis of risk factors

Pyogenic Liver Abscesses in Children

Spontaneous Cutaneous Rupture of a Pyogenic Liver Abscess

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