Pyogenic liver abscess natural history, complications and prognosis: Difference between revisions
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==Prognosis== | ==Prognosis== | ||
The prognosis of pyogenic liver abscess depends on underlying risk factors such as<ref name="pmid8651751">{{cite journal| author=Huang CJ, Pitt HA, Lipsett PA, Osterman FA, Lillemoe KD, Cameron JL et al.| title=Pyogenic hepatic abscess. Changing trends over 42 years. | journal=Ann Surg | year= 1996 | volume= 223 | issue= 5 | pages= 600-7; discussion 607-9 | pmid=8651751 | doi= | pmc=1235191 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8651751 }} </ref> | |||
*Advanced age | *Advanced age | ||
*Malignancy | *Malignancy | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[2]
Overview
Natural History
If left untreated, pyogenic liver abscess may progress to peritonitis or pleuritis secondary to rupture of the abscess into peritoneal or pleural cavities and sepsis.[1][2][3]
Complications
Complications of pyogenic liver abscess include:[4]
- Septicemia
- Intra abdominal abscess
- Hepatic failure
- Renal failure
- Recurrent liver abscess
- Massive upper gastrointestinal bleed
- Prolonged biliary drainage
- Free peritonitis
Prognosis
The prognosis of pyogenic liver abscess depends on underlying risk factors such as[5]
- Advanced age
- Malignancy
- Shock
- Jaundice,
- Multiple abscesses
- Hemoglobin <10 g/dL
- Elevated blood urea nitrogen
References
- ↑ Branum GD, Tyson GS, Branum MA, Meyers WC (1990). "Hepatic abscess. Changes in etiology, diagnosis, and management". Ann Surg. 212 (6): 655–62. PMC 1358249. PMID 2256756.
- ↑ Farges O, Leese T, Bismuth H (1988). "Pyogenic liver abscess: an improvement in prognosis". Br J Surg. 75 (9): 862–5. PMID 3052693.
- ↑ Pitt HA, Zuidema GD (1975). "Factors influencing mortality in the treatment of pyogenic hepatic abscess". Surg Gynecol Obstet. 140 (2): 228–34. PMID 1124472.
- ↑ Malik AA, Bari SU, Rouf KA, Wani KA (2010). "Pyogenic liver abscess: Changing patterns in approach". World J Gastrointest Surg. 2 (12): 395–401. doi:10.4240/wjgs.v2.i12.395. PMC 3014521. PMID 21206721.
- ↑ Huang CJ, Pitt HA, Lipsett PA, Osterman FA, Lillemoe KD, Cameron JL; et al. (1996). "Pyogenic hepatic abscess. Changing trends over 42 years". Ann Surg. 223 (5): 600–7, discussion 607-9. PMC 1235191. PMID 8651751.