Single and multiple pyogenic liver abscesses: Clinical course, etiology, and results of treatment

Fong Fu Chou, Shyr Ming Sheen-Chen, Yaw Sen Chen, Mao Chan Chen

研究成果: 雜誌貢獻文章

120 引文 (Scopus)

摘要

A total of 483 patients with pyogenic liver abscess during the years 1986 to June 1995 were studied at Chang Gung Memorial Hospital in Kaohsiung: 343 were a single abscess and 140 were multiple abscesses. Males were predominantly affected by this disease. Abdominal pain was more frequent with the single abscess than with multiple abscesses, and jaundice was more frequent with multiple abscesses. Blood levels of alkaline phosphatase, bilirubin, and creatinine and the while blood cell count were significantly higher in patients with multiple abscesses than in those with a single abscess; and the hemoglobin level was higher with single abscesses. The single abscess was usually larger than 5 cm, and the multiple abscesses were usually smaller than 5 cm. The single abscess was always located on the right side (72%) and the multiple abscesses always on the right or both sides. Single abscesses mainly had a cryptogenic origin (58.9%) and multiple abscesses a biliary origin (45.0%). Liver aspirates revealed Klebsiella pneumoniae, Escherichia coli, Streptococcus, Bacteroides, Enterococcus, among others. K. pneumoniae was more often found in a single abscess and E. coli more often in multiple abscesses. Percutaneous catheter drainage and aspiration comprised the main treatment initially, and the failure rate with multiple abscesses was higher than that with single abscesses. Surgical intervention should be considered for multiple abscesses because of the underlying disease. The overall mortality with multiple abscesses (22.1%) was higher than that with a single abscess (12.8%). Partial hepatectomy produced a low mortality rate for both single and multiple abscesses and should be considered in the presence of severe hepatic destruction by an abscess or a stone.

原文英語
頁(從 - 到)384-389
頁數6
期刊World Journal of Surgery
21
發行號4
DOIs
出版狀態已發佈 - 一月 1 1997

指紋

Pyogenic Liver Abscess
Abscess
Therapeutics
Klebsiella pneumoniae

ASJC Scopus subject areas

  • Surgery

引用此文

Single and multiple pyogenic liver abscesses : Clinical course, etiology, and results of treatment. / Chou, Fong Fu; Sheen-Chen, Shyr Ming; Chen, Yaw Sen; Chen, Mao Chan.

於: World Journal of Surgery, 卷 21, 編號 4, 01.01.1997, p. 384-389.

研究成果: 雜誌貢獻文章

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abstract = "A total of 483 patients with pyogenic liver abscess during the years 1986 to June 1995 were studied at Chang Gung Memorial Hospital in Kaohsiung: 343 were a single abscess and 140 were multiple abscesses. Males were predominantly affected by this disease. Abdominal pain was more frequent with the single abscess than with multiple abscesses, and jaundice was more frequent with multiple abscesses. Blood levels of alkaline phosphatase, bilirubin, and creatinine and the while blood cell count were significantly higher in patients with multiple abscesses than in those with a single abscess; and the hemoglobin level was higher with single abscesses. The single abscess was usually larger than 5 cm, and the multiple abscesses were usually smaller than 5 cm. The single abscess was always located on the right side (72{\%}) and the multiple abscesses always on the right or both sides. Single abscesses mainly had a cryptogenic origin (58.9{\%}) and multiple abscesses a biliary origin (45.0{\%}). Liver aspirates revealed Klebsiella pneumoniae, Escherichia coli, Streptococcus, Bacteroides, Enterococcus, among others. K. pneumoniae was more often found in a single abscess and E. coli more often in multiple abscesses. Percutaneous catheter drainage and aspiration comprised the main treatment initially, and the failure rate with multiple abscesses was higher than that with single abscesses. Surgical intervention should be considered for multiple abscesses because of the underlying disease. The overall mortality with multiple abscesses (22.1{\%}) was higher than that with a single abscess (12.8{\%}). Partial hepatectomy produced a low mortality rate for both single and multiple abscesses and should be considered in the presence of severe hepatic destruction by an abscess or a stone.",
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