化膿性肝膿瘍
WordNet
- pursue a positive and satisfying existence; "You must accept yourself and others if you really want to live"
- actually being performed at the time of hearing or viewing; "a live television program"; "brought to you live from Lincoln Center"; "live entertainment involves performers actually in the physical presence of a live audience" (同)unrecorded
- abounding with life and energy; "the club members are a really live bunch"
- charged with an explosive; "live ammunition"; "a live bomb"
- exerting force or containing energy; "live coals"; "tossed a live cigarette out the window"; "got a shock from a live wire"; "live ore is unmined ore"; "a live bomb"; "a live ball is one in play"
- highly reverberant; "a live concert hall"
- in current use or ready for use; "live copy is ready to be set in type or already set but not yet proofread"
- lead a certain kind of life; live in a certain style; "we had to live frugally after the war"
- not recorded; "the opera was broadcast live"
- of current relevance; "a live issue"; "still a live option"
- a person who has a special life style; "a high liver"
- large and complicated reddish-brown glandular organ located in the upper right portion of the abdominal cavity; secretes bile and functions in metabolism of protein and carbohydrate and fat; synthesizes substances involved in the clotting of the blood; sy
- liver of an animal used as meat
- someone who lives in a place; "a liver in cities"
- symptom consisting of a localized collection of pus surrounded by inflamed tissue
- producing pus
- infected and filled with pus; "an abscessed tooth"
PrepTutorEJDIC
- 『生きている』,生命がある / 《副詞[句]を伴って》〈人などが〉『生き続ける』 / 〈物事が〉長く続く,存続する / 《場所を表す副詞[句]を伴って》〈人などが〉『住む』,居住する / 《副詞[句]を伴って》『生活する』,暮らす / 生人を楽しむ,おもしろく桟らす / 《a+形容詞癌lifeを目的語にして》〈…を生活〉‘を'する / 〈思想など〉‘を'実銭する
- 《名詞の前にのみ用いて》『生きている』 / 『活気のある』 / (問題などが)当面の / 燃えている / (弾丸などが)まだ爆発してない,未発の / まだ動いている(働いている),有効な / 電流が通じている / (放走が)生の,実況の
- (ある態度で)生活する人;居住者
- 〈C〉『肝臓』 / 〈U〉(食用にする)動物の肝臓,レバー
- 膿瘍(のうよう)(うんだできもの)
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2013/07/12 14:56:51」(JST)
[Wiki en表示]
|
This article may need to be rewritten entirely to comply with Wikipedia's quality standards. You can help. The discussion page may contain suggestions. (April 2010) |
Pyogenic liver abscess |
Classification and external resources |
ICD-10 |
K75.0 |
ICD-9 |
572.0 |
MedlinePlus |
000261 |
eMedicine |
article/193182 |
MeSH |
D046290 |
A pyogenic liver abscess is a type of liver abscess caused by bacteria.
Contents
- 1 Etiology
- 1.1 Common bacterial causes
- 2 Clinical features
- 3 Diagnosis
- 4 Treatment
- 5 References
|
Etiology[edit]
- Biliary disease (most common)
E.g.: stones, cholangiocarcinoma
E.g.: diverticulitis, appendicitis, Crohn's disease
- Cryptogenic disease
- Pancreatitis
- Infection of blood
- Intra-abdominal sepsis
- Infection of biliary system
- Traumatic introduction
E.g.: penetrating injury, iatrogenic (radiofrequency ablation)
Common bacterial causes[edit]
- Streptococcus milleri
- E. coli
- Streptococcus fecalis
- Klebsiella pneumoniae
- Proteus vulgaris
- Bacteroides
- Opportunistic Pathogens (Staphylococcus)
Clinical features[edit]
- 1.Acute Abscess
- Fever
- Lethargy
- Discomfort in Right Upper Quadrant Of Abdomen
- Anorexia
- Enlarged and Tender Liver
- Pleural effusion
- 2.Chronic Abscess
- Fever
- Abdominal discomfort
- Enlarged Liver
Diagnosis[edit]
- Blood CP (No Leucocytosis)
- Haemoglobin estimation (anaemia)
- Serum albumin levels (Falls rapidly)
- USG and CT Scanning
Treatment[edit]
- 1.Antibiotics
- Penicillins
- Aminoglycosides
- Metronidazole
- Cephalosporins
- 2.Percutaneous Drainage under USG or CT Control
- 3.Laparotomy in intraabdominal disease
References[edit]
Pyogenic hepatic abscesses at eMedicine
UpToDate Contents
全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.
English Journal
- Pyogenic Liver Abscess Following Pancreaticoduodenectomy: Risk Factors, Treatment, and Long-Term Outcome.
- Njoku VC, Howard TJ, Shen C, Zyromski NJ, Schmidt CM, Pitt HA, Nakeeb A, Lillemoe KD.Author information Department of Surgery and Biostatistics, Indiana University School of Medicine, Indianapolis, IN, USA.AbstractBACKGROUND: Pancreaticoduodenectomy (PD) remains a challenging operation with a 40 % postoperative complication rate. Pyogenic liver abscess (PLA) is an uncommon complication following PD with little information on its incidence or treatment. This study was done to examine the incidence, risk factors, treatment, and long-term outcome of PLA after PD.
- Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract.J Gastrointest Surg.2014 Feb 8. [Epub ahead of print]
- BACKGROUND: Pancreaticoduodenectomy (PD) remains a challenging operation with a 40 % postoperative complication rate. Pyogenic liver abscess (PLA) is an uncommon complication following PD with little information on its incidence or treatment. This study was done to examine the incidence, risk facto
- PMID 24510300
- Pyogenic liver abscess as a complication of internal hemorrhoid banding.
- Xu M, Russell M, Lin A, Yoo J.
- The American surgeon.Am Surg.2014 Feb;80(2):36-7.
- PMID 24480193
- Role of C-reactive protein in response-guided therapy of pyogenic liver abscess.
- Law ST, Li KK.Author information Division of Gastroenterology and Hepatology, Department of Medicine and Geriatrics, Tuen Mun Hospital, Tuen Mun, Hong Kong.AbstractBACKGROUND: Protocols for antibiotic treatment of pyogenic liver abscess (PLA) are usually based on clinicians' own experience without any validation. Our study was to evaluate the clinical implication of C-reactive protein (CRP) in predicting treatment outcome and adequacy of antibiotic therapy of PLA.
- European journal of gastroenterology & hepatology.Eur J Gastroenterol Hepatol.2014 Feb;26(2):179-86. doi: 10.1097/MEG.0b013e328365a3b7.
- BACKGROUND: Protocols for antibiotic treatment of pyogenic liver abscess (PLA) are usually based on clinicians' own experience without any validation. Our study was to evaluate the clinical implication of C-reactive protein (CRP) in predicting treatment outcome and adequacy of antibiotic therapy of
- PMID 24025976
Japanese Journal
- 大石 康介,坂口 孝宣,稲葉 圭介,森田 剛文,鈴木 淳司,福本 和彦,馬場 聡,鈴木 昌八,今野 弘之
- 日本消化器外科学会雑誌 46(2), 91-97, 2013
- 症例は75歳の男性で,2004年2月,肝外側区域および後区域のKlebsiella pneumoniaeによる肝膿瘍の敗血症性ショックで他院に入院した.抗生剤投与により膿瘍は縮小し,全身状態は改善した.10か月後に膿瘍は消失し,経過観察中止となった.2007年1月の検診にて肝胆道系酵素上昇を指摘され,腹部超音波検査,CTで以前の肝膿瘍存在部位に一致する肝外側区域に6 cm大の腫瘍を認めた.肝炎ウ …
- NAID 130004560914
- Successful Non-surgical Treatment of Ruptured Pyogenic Liver Abscess
- Motoyama Tenyu,Ogasawara Sadahisa,Chiba Tetsuhiro,Suzuki Eiichiro,Yokota Hajime,Haga Yuki,Kanogawa Naoya,Saito Tomoko,Ooka Yoshihiko,Tawada Akinobu,Kanai Fumihiko,Yokosuka Osamu
- Internal Medicine 52(23), 2619-2622, 2013
- … Computed tomography revealed a rim-and septal-enhanced lesion in the left lobe of the liver with hemorrhage along the hepatic capsule. … Because Klebsiella pneumoniae was detected in both the blood and aspirated abdominal fluid, the patient was diagnosed with a ruptured pyogenic liver abscess. … He was successfully treated with percutaneous abscess drainage and the systemic administration of antibiotics. …
- NAID 130003383719
- A Liver Abscess Deprived a Healthy Adult of Eyesight: Endogenous Endophthalmitis Associated with a Pyogenic Liver Abscess Caused by Serotype K1 Klebsiella Pneumonia
- Maruno Takahisa,Ooiwa Yoko,Takahashi Ken,Kodama Yuzo,Takakura Shunji,Ichiyama Satoshi,Chiba Tsutomu
- Internal Medicine 52(8), 919-922, 2013
- … We herein report the case of a healthy 63-year-old man with a pyogenic liver abscess and bilateral endogenous endophthalmitis caused by serotype K1 Klebsiella pneumonia. … Although the patient received percutaneous abscess drainage and antibiotic therapy, he lost his eyesight. …
- NAID 130003365995
Related Links
- Pyogenic liver abscess is a pus-filled area in the liver. Causes There are many potential causes of liver abscesses, including: Abdominal infection such as appendicitis, diverticulitis, or a perforated bowel Infection in the blood ...
- Pyogenic liver abscesses usually develop following peritonitis due to leakage of intraabdominal bowel contents that subsequently spread to liver via the portal circulation or via direct spread from biliary infection. They may also result ...
Related Pictures
★リンクテーブル★
[★]
- 英
- pyogenic liver abscess, bacterial hepatic abscess, bacterial liver abscess
- 関
- 肝膿瘍
[show details]
疫学
感染経路
- 特発性
- 浸潤性・外傷性
- 血行性(経門脈性)
- 胆道性:結石、胆管炎、胆汁うっ滞
- 医原性:肝動脈塞栓術後、局所焼灼治療後
特徴
- 経胆道性:多発性
- 経門脈性や外傷性、特発性:単発性(右葉に好発)
- ウイルス性肝膿瘍に比べて多発性が多い
病原体
- グラム陰性桿菌(Escherichia coli)が最多
症状
検査
- 血算:白血球増多
- 血液生化学:CRP上昇
- 肝機能:障害は軽微
- 腹部超音波検査:低エコーの腫瘤
- 腹部単純CT:低吸収の腫瘤
治療
参考
- 1. [charged] Pyogenic liver abscess - uptodate [1]
[★]
- 英
- pyogenic liver abscess
[★]
- [liv]
- [laiv]
- 同
- LAIV
[★]
- 関
- purulent、pyogenes、suppurative
[★]
肝臓