Zerem Enver, Sušić Alma
Department of Gastroenterology, University Clinical Center Tuzla, Bosnia and Herzegovina.
Acta Med Acad. 2012;41(2):210-3. doi: 10.5644/ama2006-124.53.
Multiple pyogenic liver abscesses formed after appendectomy and their percutaneous treatment with multiple catheters have been rarely described. We report a case of multiple pyogenic liver abscesses in a critically ill patient, formed after appendectomy and treated successfully by antibiotics and drainage with six catheters that were introduced simultaneously under ultrasound control. Even though this was a case of liver abscess secondary to appendicitis, today very rare in Western countries, but still a serious complication in developing countries, it was successfully resolved by percutaneous drainage, along with antibiotic therapy.
We emphasize the advantages of percutaneous treatment compared with surgery regarding the avoidance of perioperative complications and the risks of general anesthesia.
阑尾切除术后形成多发性化脓性肝脓肿以及采用多根导管经皮治疗的情况鲜有报道。我们报告一例危重症患者发生的多发性化脓性肝脓肿,该脓肿在阑尾切除术后形成,并通过抗生素治疗以及在超声引导下同时置入六根导管进行引流而成功治愈。尽管这是一例阑尾炎继发的肝脓肿,在西方国家如今非常罕见,但在发展中国家仍是一种严重的并发症,通过经皮引流结合抗生素治疗得以成功解决。
我们强调与手术相比,经皮治疗在避免围手术期并发症和全身麻醉风险方面的优势。