Medical Treatment of Pyogenic Liver Abscess
Authors: TELFER B. REYNOLDS
Journal: Annals of Internal Medicine (1982)

Editorials1 March 1982Medical Treatment of Pyogenic Liver AbscessTELFER B. REYNOLDS, M.D.TELFER B. REYNOLDS, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-96-3-373 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptDiagnosing liver abscess has been simplified in recent years by the rapid development of modern scanning methods using technetium-99m sulfur colloid, gallium-67, ultrasound, and computed tomography. Patients with liver abscess usually present with right upper quadrant pain or tenderness and signs of sepsis. Differential diagnosis includes acute cholecystitis, cholangitis, subphrenic and subhepatic abscess, malignancy, and acute alcoholic hepatitis. Necrotic tumor, amebic abscess, and pyogenic abscess are the leading possibilities if semisolid or liquid intrahepatic lesions are found on scanning. Infected hydatid cyst is an additional consideration in patients from an endemic area. The diagnosis of amebic abscess is suggested largely...References1. VERLENDENFREY WC. Management of liver abscess. Am J Surg. 1980;140:53-9. CrossrefMedlineGoogle Scholar2. MAHERREYNOLDSYELLIN JTA. Successful medical treatment of pyogenic liver abscess. Gastroenterology. 1979;77:618-22. CrossrefMedlineGoogle Scholar3. HERBERTFOGELROTHMANWILSONSIMMONSRUSKIN DDJSFJ. Pyogenic liver abscesses: successful non-surgical therapy. Lancet. 1982;1:134-6. CrossrefMedlineGoogle Scholar4. MCFADZEANCHANGWONG AKC. Solitary pyogenic abscess of the liver treated by closed aspiration and antibiotics: a report of 14 consecutive cases of recovery. Br J. Surg. 1953;41:141-52. CrossrefMedlineGoogle Scholar5. TETZREEVESLONGERBEAM ECJ. Treatment of liver abscesses: a conservative approach. Am J Surg. 1973;126:263-70. CrossrefMedlineGoogle Scholar6. GILBERT V. Anaerobic liver abscess: medical treatment. Ann Intern Med. 1973;78:303. Letter. LinkGoogle Scholar7. NOVYWALLACEGOLDMANBEN-MENACHEM SSAY. Pyogenic liver abscess: angiographic diagnosis and treatment by closed aspiration. Am J Roentgenol Radium Ther Nucl Med. 1974;121:388-95. CrossrefMedlineGoogle Scholar8. NEOPTOLEMOSMACPHERSONFOSSARD JDD. Pyogenic liver abscess. Br Med J. 1980;280:1453-4. Letter. CrossrefMedlineGoogle Scholar9. WRIGHTRICHARDS PJ. Pyogenic liver abscess. Br Med J. 1980;280:1617. Letter. CrossrefGoogle Scholar10. BERGEROSBORNE LD. Treatment of pyogenic liver abscesses by percutaneous needle aspiration. Lancet. 1982;1:132-4. CrossrefMedlineGoogle Scholar11. GERZOFROBBINSBIRKETTJOHNSONPUGATCHVINCENT SADWRM. Percutaneous catheter drainage of abdominal abscesses guided by ultrasound and computer tomography. AJR. 1979;133:1-8. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Los Angeles County-University of California Medical Center Los Angeles, California PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByInfections of the Liver and Biliary System (Liver Abscess, Cholangitis, Cholecystitis)Focal Bacterial InfectionsInfections of the Liver and Biliary SystemLiver AbscessMethicillin-resistant Staphylococcus aureus hepatic abscess in a patient with sickle-cell diseaseFocal Bacterial InfectionsInflammatory disease of the liverAbscesos hepáticos piógenosPYOGENIC LIVER ABSCESSESFocal inflammatory diseases of the liverProspective study ofStreptococcus milleri hepatic abscessGastrointestinal InfectionsFOCAL INFLAMMATORY DISEASE OF THE LIVEREfficacies of various antimicrobial agents in treatment of Staphylococcus aureus abscesses and correlation with in vitro tests of antimicrobial activity and neutrophil killingLiver abscess as the initial manifestation of colonic Crohn's disease: Report of a casePyogenic and Amebic Liver AbscessBiliary Tract and Hepatic InfectionsPseudomonas aeruginosa liver abscesses following endoscopic retrograde cholangiographyLiver abscess: What determines the prognosis?Liver abscess in Crohn's diseaseExperimental anaerobic liver abscess: observations on treatmentLIVER ABSCESS IN WESTERN AUSTRALIA (1974-1983)Pyogenic liver abscess: Diagnosis, bacteriology and treatmentBacterial-mycotic liver abscess in a non-immunocompromised host 1 March 1982Volume 96, Issue 3Page: 373-374KeywordsAbscessesAmebiasisComputed axial tomographyEchinococcosisHepatitisLesionsLiverPatient advocacySepsisUltrasound imaging Issue Published: 1 March 1982 PDF DownloadLoading ...