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Liver Abscess
Liver Abscess
Pathogenesis :
1. Biliary tree
2. Portal vein
3. Hepatic artery
4. Direct extension
5. Trauma
Biliary tree :
-Most common
-Biliary obstruction
-diverticulitis,appendicitis, pancreatitis .
Hepatic artery :
Direct extension :
Trauma :
-Bilobar-uncommon
-50% solitary
Klebsiella pneumoniae
Clinical features :
-Classic description
- fever
- jaundice
- tenderness
-Fever and right upper quadrant tenderness40% to 70%
-Jaundice - 25%
-Hepatomegaly 50%
-Chest radiograph-50%
1. Amebic abscess
2. Echinococcal cyst
Treatment :
anaerobe.
-Percutaneous drainage
Amebic abscess :
Pathogenesis
Pathology
-1/3 diarrhea
-Anemia is common
- pleural effusion
- atelectasis
a. pyogenic abscess
b. hydatid cyat
c. viral hepatitis
d. cholangitis
e cholecystitis
f. appendicitis
Management
-Operative- rupture