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Liver abscesses


Develop as a complication of amebic dysentery, after a common purulent infection, pylephlebitis, purulent cholangitis. There are three main types of liver abscesses: amoebic, bacillary and purulent. Injuries, disease and intoxication that violate the functions of the liver, predispose to the occurrence of abscesses.
Symptoms and course:
In the initial stages of the disease is usually not sufficiently clear and clear. As the abscess develops, the symptoms become more visible, but the clinical picture is then followed by a severe general condition. As a rule, liver abscesses develop slowly, therefore, symptoms appear gradually. Patients complain of pain in the right hypochondrium, which are strong, permanent. As the abscess increases, the pain intensifies and is painful, arching. Patients feel pressure and tension in the right half of the abdomen and chest, which increase over time. A person spares the sore side, so his gait changes, his position in bed. Every push, movement causes increased pain in the liver. Patients with pyogenic abscesses or with a secondary infection have all the signs of severe purulent intoxication. During palpation, there is a slight tension in the muscles of the abdominal wall in the liver. Especially strong pain is observed in the area of ​​abscess. Pulse weak filling, 120140 beats per minute, blood pressure decreases. The clinical picture resembles a severe form of sepsis.
Recognition:
X-ray examination, liver scan, ultrasound echocation, and labaroscopy provide significant assistance in diagnosis. To clarify the diagnosis, an abscess puncture with a thin needle is used.
Treatment:
In amebic liver abscesses - conservative or conservative surgical methods. Pyogenic liver abscesses are subject to surgery.