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Liver abscess Liver abscess on axial CT image: a hypodense lesion in the liver with peripherally enhancement. Specialty Gastroenterology
A liver abscess is a mass filled with pus inside the liver .[1] appendicitis or diverticulitis due to haematogenous spread through the portal vein .[2] liver injury .
Risk factors for developing liver abscess can be due to infection , post-procedural infection and metastasis such as primary liver tumours , liver metastasis , biliary procedures, biliary injuries, biliary tract disease, appendicitis , and diverticulitis .[3]
Major bacterial causes of liver abscess include the following:[4]
However, as noted above, many cases are polymicrobial.
Diagnosis [ edit ]
A large pyogenic liver abscess presumed to be the result of appendicitis
There are several major forms of liver abscess, classified by cause:[3]
Pyogenic liver abscess , which is most often polymicrobial, accounts for 80% of hepatic abscess cases in the United States.
Amoebic liver abscess due to Entamoeba histolytica
Fungal abscess, most often due to Candida
Iatrogenic abscess, caused by medical interventions
Management [ edit ]
Draining of the abscess and antibiotics: IV metronidazole and third generation cephalosporin /quinolones , β-lactam antibiotics , and aminoglycosides are effective.[3]
Prognosis [ edit ]
The prognosis has improved for liver abscesses. The mortality rate in-hospital is about 2.5-19%. The elderly , ICU admissions, shock , cancer , fungal infections , cirrhosis , chronic kidney disease , acute respiratory failure , severe disease, or disease of biliary origin have a worse prognosis .[5]
References [ edit ]
^ a b c Akhondi, Hossein; Sabih, Durr E. (2022), "Liver Abscess" , StatPearls , Treasure Island (FL ): StatPearls Publishing, PMID 30855818 , retrieved 2022-10-17
^ Webb GJ, Chapman TP, Cadman PJ, Gorard DA (January 2014). "Pyogenic liver abscess" . Frontline Gastroenterology . 5 1 ): 60–67. doi :10.1136/flgastro-2013-100371 . PMC 5369710 PMID 28839753 .
^ Akhondi H, Sabih DE (2019). "Liver Abscess" . StatPearls . StatPearls Publishing. PMID 30855818 . Retrieved 2019-07-28 .
External links [ edit ]
R e t r i e v e d f r o m " https://en.wikipedia.org/w/index.php?title=Liver_abscess&oldid=1167021526 " C a t e g o r y : ● D i s e a s e s o f l i v e r H i d d e n c a t e g o r i e s : ● A r t i c l e s w i t h s h o r t d e s c r i p t i o n ● S h o r t d e s c r i p t i o n i s d i f f e r e n t f r o m W i k i d a t a
● T h i s p a g e w a s l a s t e d i t e d o n 2 5 J u l y 2 0 2 3 , a t 0 5 : 5 5 ( U T C ) . ● T e x t i s a v a i l a b l e u n d e r t h e C r e a t i v e C o m m o n s A t t r i b u t i o n - S h a r e A l i k e L i c e n s e 4 . 0 ;
a d d i t i o n a l t e r m s m a y a p p l y . B y u s i n g t h i s s i t e , y o u a g r e e t o t h e T e r m s o f U s e a n d P r i v a c y P o l i c y . W i k i p e d i a ® i s a r e g i s t e r e d t r a d e m a r k o f t h e W i k i m e d i a F o u n d a t i o n , I n c . , a n o n - p r o f i t o r g a n i z a t i o n . ● P r i v a c y p o l i c y ● A b o u t W i k i p e d i a ● D i s c l a i m e r s ● C o n t a c t W i k i p e d i a ● C o d e o f C o n d u c t ● D e v e l o p e r s ● S t a t i s t i c s ● C o o k i e s t a t e m e n t ● M o b i l e v i e w
