Abstract
Hepatic or liver abscess is most commonly amoebic in etiology worldwide and pyogenic in Western nations. Patients most commonly present with fever, chills, and right upper quadrant pain. The etiology of pyogenic abscesses is most commonly from a biliary tract source or another gastrointestinal (GI) tract infection with portal seeding of bacteria to the liver. Treatment includes systemic antibiotics and drainage (usually percutaneous) and sometimes requires operative intervention.
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References
Meddings L, Myers RP, Hubbard J, Shaheen AA, Laupland KB, Dixon E, et al. A population-based study of pyogenic liver abscesses in the United States: incidence, mortality, and temporal trends. Am J Gastroenterol. 2010;105(1):117–24.
Huang CJ, Pitt HA, Lipsett PA, Osterman FA Jr, Lillemoe KD, Cameron JL, et al. Pyogenic hepatic abscess. Changing trends over 42 years. Ann Surg. 1996;223(5):600–7. discussion 7–9.
Pitt HA. Surgical management of hepatic abscesses. World J Surg. 1990;14(4):498–504.
Trump DL, Fahnestock R, Cloutier CT, Dickman MD. Anaerobic liver abscess and intrahepatic metastases: a case report and review of the literature. Cancer. 1978;41(2):682–6.
Benedetti NJ, Desser TS, Jeffrey RB. Imaging of hepatic infections. Ultrasound Q. 2008;24(4):267–78.
Haque R, Huston CD, Hughes M, Houpt E, Petri WA, Amebiasis J. N Engl J Med. 2003;348(16):1565–73.
Teitz S, Guidetti-Sharon A, Manor H, Halevy A. Pyogenic liver abscess: warning indicator of silent colonic cancer. Report of a case and review of the literature. Dis Colon Rectum. 1995;38(11):1220–3.
Sharma MP, Ahuja V. Amebiasis. N Engl J Med. 2003;349:307–8. https://doi.org/10.1056/NEJM200307173490323.
Ng FH, Wong WM, Wong BC, Kng C, Wong SY, Lai KC, et al. Sequential intravenous/oral antibiotic vs. continuous intravenous antibiotic in the treatment of pyogenic liver abscess. Aliment Pharmacol Ther. 2002;16(6):1083–90.
Zerem E, Hadzic A. Sonographically guided percutaneous catheter drainage versus needle aspiration in the management of pyogenic liver abscess. AJR Am J Roentgenol. 2007;189(3):W138–42.
Cai YL, Xiong XZ, Lu J, Cheng Y, Yang C, Lin YX, et al. Percutaneous needle aspiration versus catheter drainage in the management of liver abscess: a systematic review and meta-analysis. HPB (Oxford). 2015;17(3):195–201.
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Singh, J., Gusani, N.J. (2019). Hepatic Abscess. In: Docimo Jr., S., Pauli, E. (eds) Clinical Algorithms in General Surgery . Springer, Cham. https://doi.org/10.1007/978-3-319-98497-1_79
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DOI: https://doi.org/10.1007/978-3-319-98497-1_79
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