| Popis: |
A series of ten patients with liver abscess during the past 6 years (1982-1987) was subjected to an analitical study of diagnosis, treatments and prognosis of the disease. Of the 10 patients, with the average age of 57.7 years and the male-to-female ratio of 6-4, nine had pyogenic abscesses and the rest one amebic abscess. The source of infection in 6 out of the 9 pyogenic abscesses might be of biliary except the remaining 3 in which the causes were unknown. Each 5 patients had single or multiple abscess respectively, and the abscesses in 7 patients were located in the left lobe and the other 3 in the right lobe. Of the 10 patients, 6 underwent hepatic resections and 4 were amenable to surgical drainage. Seven patients with benign abscess were all healed, but the others related to malignant diseases all died. Liver abscess was once a life-threatening diease, but recent development of techniques in diagnosis and treatment have reduced the mortality in benign cases. But the cases related to malignancies have poor outcomes and are sometimes difficult to diagnose. Hence it is necessary to think about a possible accompaniment of malignancies in treating patients with liver abscess. |
