Kennelly Christina C, Petz Chelsey A, Rockey Don C
Medical University of South Carolina, Charleston, SC, USA.
J Investig Med High Impact Case Rep. 2014 Apr 29;2(2):2324709614533513. doi: 10.1177/2324709614533513. eCollection 2014 Apr-Jun.
Pyogenic liver abscess (PLA) is an important clinical entity to consider in a patient with fever and abdominal pain. Previously, the condition was difficult to diagnose and treat, but with the introduction of widely available and reliable imaging techniques, its diagnosis has become more straightforward. Although uncommon, PLA should especially be considered in the differential diagnosis for patients with specific predisposing conditions such as underlying biliary tract disease, whether as a result of chronic inflammatory disease or malignancy. The introduction of percutaneous drainage has revolutionized the management of PLA, and thus, this disease has become largely correctable.
化脓性肝脓肿（PLA）是发热和腹痛患者需要考虑的重要临床病症。以前，这种病症难以诊断和治疗，但随着广泛可用且可靠的成像技术的引入，其诊断变得更加直接。尽管不常见，但对于有特定易患因素的患者，如潜在的胆道疾病（无论是慢性炎症性疾病还是恶性肿瘤所致），在鉴别诊断时尤其应考虑PLA。经皮引流的引入彻底改变了PLA的治疗方式，因此，这种疾病在很大程度上已可治愈。
