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Liver abscess

Liver abscess is a serious inflammatory disease, which is suppurative in nature bacterial or protozoal nature. Often identified amoebic species caused by pathogens flora. Purulent cavity is filled with the liver is extremely dangerous for human life. Abscesses can be divided into primary and secondary, single and multiple, complicated and uncomplicated, amoebic and pyogenic.

Complications include atypical phenomena, which are due to changes in the festering areas of the body. First of all, it can be noted purulent pericarditis, sepsis, empyema. Possible complications such as subdiaphragmatic abscess, as well as a breakthrough in the peritoneal or pleural cavity. The main causes of disease are rooted in specific etiologies. When intrauterine infection pyogenic abscess almost inevitable. However, after the beginning of wide application of antiseptic preparations, such cases have become quite rare.

One of the important causes amoebic abscess is considered hazardous bacteria of the colon, called invasion. In laboratory assays in stool of the patient will be discovered amoeba. As a result of biliary infection of the rising type and as a result of hematogenous processes often have different types of this disease. Sometimes the spread of liver abscess is caused due to the resulting serious injuries to the liver or inflammation of the abdominal organs. Suppurative cholangitis and gallstone disease also cause changes.

You can also note such factors in the formation of liver abscesses, malignant tumor, ulcerative colitis, destructive appendicitis and education of oncological nature. A major manifestation of symptoms of illness is to increase the temperature of the human body, severe pain acute in the right hypochondrium, a significant increase in the liver with increased pain on palpation. On for dangerous inflammatory process has increased leukocytosis. The final stage of diagnosis is an ultrasound study and CT scan.

The main treatment is based on modern antibacterial drugs, the purpose of which is based on individual sensitivity of microflora. The medicine is injected into the hepatic artery through the catheter for rapid saturation of the body with the necessary concentration of antibiotic. You can also enter medications in the umbilical vein. If a single large abscess shown surgical therapyby opening the inflammation. Percutaneous drainage of abscesses is the most gentle and effective method for the treatment of small multiple abscesses.

Predictions in these liver abscesses are often severe. As a rule, even if a large single inflammation recover more than 90% of patients if treatment with drainage appointed in a timely manner. However, fatal lead multiple small ulcers and just do not drained a single abscess. Amoebic species are found more often in middle-aged men. The contents of the abscess in this case is a liquid substance with a characteristic fetid odor and red-brown shade.

Rarely the development of species such as cholangiogenic abscess, due to the unique migration of parasites into the lumen of the bile ducts. It is characterized by opisthorchiasis, fascioliasis and ascariasis. These abscesses are multiple type. Contact infection, usually seen during the break of the liver tissue and penetration of gastroduodenal ulcers or with subdiaphragmatic open ulcers and traumatic injuries of the body. After a closed abdominal trauma is often diagnosed post-traumatic abscesses.

It happens that there is not only a dangerous infection and suppuration of the Central subcapsular hematoma, but also the limitation of the necrosis of the liver tissue with contusion. Microbial flora provides penetration into the zone of apparent damage to the portal or biliary route. Experts say the most frequent pathogens Staphylococcus aureus and Escherichia coli. Often when seeding the growth of microbes can not be detected. Many patients with liver abscesses usually are sown Streptococcus.

Treatment of typical uncomplicated amoebic abscesses are medication method. What is it used for chloroquine, emetine and other drugs group of metronidazole. Most patients have a rapid recovery, due to intensive therapy. It should be mentioned that complex transparietal puncture of the abscess is indicated only if the impossibility of an accurate diagnosis of the type of abscess. In rare cases, a surgical treatment that is recommended for the apparent failure of medical therapy.