We have presented an analysis of cases of liver abscess from the record of the Department of Pediatrics, Yonsei medical College, during the 10 year 8 months period from Jan. 1969 through Sept. 1979. The incidence of admission in pediatric was 0.05025%. There was male preponderance. The most frequently encountered symptoms and sings were fever and chill, anorexia, hepatomegale, pain and tenderness on right upper quadrant of abdomen. The pathogenetic mechanisms were lodgement in the liver of hematogenously dissemination, ascending infection of cholangitis, trauma. Cryptogenic liver abscess was seen in two cases. There were 5 cases of pyogenic liver abscess and 3 cases of amebic liver abscess. Undetermined etiology was noted in 2 cases. Roentgenography including scan is the most helpful diagnostic tool available. Only one patient with post-traumatic liver abscess was expired.
Abdomen ; Anorexia ; Cholangitis ; Fever ; Humans ; Incidence ; Liver Abscess* ; Liver Abscess, Amebic ; Liver Abscess, Pyogenic ; Liver* ; Male ; Pediatrics ; Radiography

BACKGROUND: To evaluate the changing pattern of liver abscess treatment, we did a retrospective analysis of 80 patients with liver abscess, treated surgically and medically at the Department of Surgery and Internal Medicine, Wonkwang University Hospital from January 1985 to December, 1995. RESULTS: Among 80cases of liver abscess, 59 cases(76%) were pyogenic abscess and 21 cases(24%) were amebic abscess. The liver abscess was more commonly located in the right lobe. In the 59cases of pyogenic liver abscess, etiologic factors were biliary stones with cholangitis(19 cases), cholecystitis(6 cases), hepatobiliary cancer(4 cases), diabetes mellitus(3 cases). All 21 cases of amebic abscess were treated with percutaneous catheter drainage and metronidazole administration; 20 cases were treated successfully and 1 case died of sepsis. Among the 59 cases of pyogenic liver abscess, 38 cases were treated with percutaneous catheter drainage; 30 cases were successful, but 8 cases were not. Operations were performed in 21 cases because of underlying intraabdominal conditions requiring surgical correction( 19cases) and panperitonitis due to rupture of liver abscess(2cases). CONCLUSION: In the treatment of amebic abscss, percutaneous catheter drainage and metanidazole adminstration should be considered first. Percutaneous catheter drainage and antibiotic treatment tend to increase more than surgical treatment in the pyogenic liver abscess therapy. The liver abscess is no more surgical indication, unless it is associated with underlying intraabdominal conditions requiring surgical correction and panperitonitis due to rupture of liver abscess.
Abscess ; Amebiasis ; Catheters ; Drainage ; Humans ; Internal Medicine ; Liver Abscess* ; Liver Abscess, Amebic ; Liver Abscess, Pyogenic ; Liver* ; Metronidazole ; Retrospective Studies ; Rupture ; Sepsis

No abstract available.
HIV ; Humans ; Liver Abscess ; Liver Abscess, Amebic

157 patients with the amebic hepatic abscess diagnosed and treated in Viet Duc hospital during 1995 - 1998. The number and position of abscess focuses were identified by ultrasound. The sound intensity in the abscess focus was reduced. The abscess focus located in the right liver (80.90%), right side of the liver (50%), posterior lobe (50%) anterior lobe (30.90%), and medial lobe (4.49%). After diagnosis, 55 cases (50.32%) and 23 cases received operations (14.65%).
Ultrasonography ; Liver Abscess, Amebic ; therapeutics

The ultrasound images of the amoebic hepatic abscess during the internal treatment were studied to evaluate the disease's progress and the response to the available guideline of treatment. The ultrasound's features and the distribution of the abscess focuses in 55 patients with the amoebic hepatic abscess during the treatment (6 months - 10 years) were evaluated. The conclusion: the diagnosis should base on the ultrasound, clinical features and needle aspiration as the guidance of the ultrasound.
Ultrasonography ; Liver Abscess, Amebic ; therapeutics

BACKGROUND: The mortality of liver abscess markedly decreased because of the improvement of diagnosis and treatment modalities, however, the incidence is still high and various complications have been developed. Our study was to clarify the clinical features, complications, changing patterns of causative organisms and predicting parameters for development of complications in liver abscess. METHODS: We reviewed 197 cases of pyogenic and amebic liver abscesses treated at Chonnam University Hospital from January 1989 to March 2003. These cases were divided into subgroups by time of occurrence, and the data was reviewed comparatively. Predicting parameters for development of complications in recent 5 years were also analyzed. RESULTS: The male to female ratio was 1.59 : 1 and the peak incidence age of liver abscess was in the 7th decade. There were no significant interval changes in incidence of pyogenic liver abscess (96.4%) and amebic liver abscess (3.6%) from January 1989 to March 2003. The most common infection route in pyogenic liver abscess was biliary tract (45.8%), followed by cryptogenic cause (44.2%), pulmonary disease (2.6%), hematogenous (2.1%) and abdominal trauma (1.5%). The pus culture came out positive in 50.4% of pyogenic liver abscess. Klebsiella pneumoniae was the most commonly isolated organism in pyogenic liver abscess (32.9%). The significant predicting parameters for development of complications were age (>or=60), systemic inflammatory response syndrome (SIRS, >or=2 factors), C-reactive protein (CRP, >or=8 mg/dL), bilirubin (>or=2 mg/dL), albumin (<3 g/dL) and AST (>or=200 IU/L, p<0.05). CONCLUSION: There were no significant interval changes in etiologies and predisposing conditions of liver abscess in Gwangju-Chonnam Province from January 1989 to March 2003. Age, SIRS, CRP, bilirubin, albumin and AST were considered as significant predicting parameters for development of complications in liver abscess.
Biliary Tract ; Bilirubin ; C-Reactive Protein ; Diagnosis ; Female ; Humans ; Incidence ; Jeollanam-do ; Klebsiella pneumoniae ; Liver Abscess* ; Liver Abscess, Amebic ; Liver Abscess, Pyogenic ; Liver* ; Lung Diseases ; Male ; Mortality ; Suppuration ; Systemic Inflammatory Response Syndrome

55 cases of amoebic hepatic abscess diagnosed basing on the clinic, ultrasound B-mode and Doppler in 1998 in Hå ChÝ Minh medical center. The duration of disease was 6-10 days. Of which 10 cases were monitored continuously until the disease free. There was no specific image of amebic hepatic abscess on the ultrasound. Most of abscess focused in the right liver. The size of abscess was reduced gradually as duration of the treatment. The conclusion: the ultrasound helps the needle aspiration of the complicated diseases and monitors the response of the treatment.
Ultrasonography ; Liver Abscess, Amebic ; therapeutics ; Pharmaceutical Preparations

Metronidazole is a popular selected drug in treatment for amebic hepatic abscess. 30 patients with amebic hepatic abscess received intravenous infusion metronidazole at Bach Mai Hospital. The authors followed disease's process, assess abscess's condition by ultrasound, manifestation of side effects, efficacy of treatment, clinical process,... The results showed that intravenous infusion metronidazole 1,000mg once daily achieved good effects. Clinical and sub-clinical symptoms improved significantly. Results of treatment are excellent and good (66.7% and 33.3%, respectively). There are four side effects including fatigue, metallic taste in the mouth, dizziness. No patient must discontinue or alter therapy
Metronidazole ; Amebiasis ; Therapeutics ; Liver Abscess, Amebic ; hospitals

No abstract available.
Biopsy, Fine-Needle* ; Coinfection* ; Liver Abscess, Amebic*

No abstract available.
Liver Abscess, Pyogenic*