<症例>孤立性細菌性肝膿瘍の2例

概要

論文の詳細を見る
About 45 years that have passed since the extensive review of liver abscesses by Ochsner and his colleagues. In the nature of pyogenic hepatic abscess, several characteristics of age, sex, preceding diseases, clinical manifestations etc. have changed. Although the administration of antibiotics has made marked improvement in the treatment of infectious diseases, the mortality of pyogenic hepatic abscess still remains high. Nowadays, patients having typical classical signs and symptoms are rare, and missed or delayed diagnosis easily results in fatal outcome. Multiple hepatic abscess is seldom treated with surgical procedure. Although medical treatment occasionally scores a success, drainage procedure for solitary pyogenic abscess of the liver is a usual choice of treatment. Two cases of solitary pyogenic abscess of the liver were demonstrated. One was infected with sepsis, and developed large abscess in the right lobe. The patient showed typical symptoms of the hepatic abscess. Another was infected with ascending cholangitis. The abscess was small and symptoms of the patient were atypical. Both patients were treated with surgical drainage and followed by good recovery. Computed tomography of the abdomen was very useful to establish diagnosis and to observe prognosis of the abscesses.
近畿大学の論文
1983-03-25