Ravichandran D, Carty N J, Johnson C D
University Surgical Unit, Royal South Hants Hospital, Southampton.
Ann R Coll Surg Engl. 1995 Jan;77(1):12-5.
Seventeen patients underwent surgery for alcohol-induced chronic pancreatitis. Three patients later presented with pyogenic liver abscess. The time interval between surgery and presentation with hepatic abscess varied from 6 weeks to 3.5 years. All patients were diabetic, the presentation was insidious and all made an uneventful recovery, two with percutaneous drainage and one with antibiotics alone. The aetiology of this uncommon complication is discussed.
17例患者因酒精性慢性胰腺炎接受了手术治疗。其中3例患者后来出现了化脓性肝脓肿。手术至出现肝脓肿的时间间隔从6周至3.5年不等。所有患者均患有糖尿病,症状隐匿,且均顺利康复,2例经皮引流,1例仅使用抗生素治疗。本文讨论了这种罕见并发症的病因。