Dimković D, Preradov S, Bonert D
Acta Chir Iugosl. 1977;24(2):153-60.
Liver abscesses represent a rare complication of inflammatory and calculous disease of the biliary system and are enhanced by tardy or delayed removal of the primary cause. Being the result of liver necrosis and depending on its extension they appear in polymorphous pattern and have the tendency to spread through the diaphragm into the chest. The differential diagnosis is not easy: from common cholangitis to sporadic necrosis of liver malignancy, suppurated hydatid cyst and other diseases. The best prophylaxis and the highest recovery rate is achieved by taking up an active surgical approach at the first signs of severe infection, especially in cases of relapse and of prolonged septic evolution in spite of the use of antibiotics and/or the (first) operative procedure. The choice of surgical procedure depends on local findings. An exceptional diagnostic difficulty represent the cases of suppurated intraheptic lithiasis.
肝脓肿是胆道系统炎性和结石性疾病的一种罕见并发症，原发性病因的延迟或延误清除会加重病情。它是肝坏死的结果，根据其范围不同呈现出多种形态，并有通过膈肌蔓延至胸部的趋势。鉴别诊断并不容易：从普通胆管炎到肝恶性肿瘤的散发性坏死、化脓性包虫囊肿及其他疾病。最佳的预防措施和最高的康复率是在出现严重感染的最初迹象时采取积极的手术方法，特别是在尽管使用了抗生素和/或首次手术但仍复发及脓毒症病程延长的情况下。手术方式的选择取决于局部检查结果。化脓性肝内胆管结石病例存在特殊的诊断困难。
