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Liver abscesses


They develop as a complication of amoebic dysentery, after a general purulent infection, pylephlebitis, purulent cholangitis. There are three main types of liver abscesses: amoebic, bacillary and purulent. Injuries, illness and intoxication, which impair liver function, predispose to the occurrence of abscesses.
Symptoms and course:
In the initial stages of the disease, it is usually not clear and clear. As the abscess develops, the symptoms become more noticeable, but the clinical picture is then obscured by a severe general condition. As a rule, liver abscesses develop slowly, therefore, symptoms are detected gradually. Patients complain of pain in the right hypochondrium, which are strong, constant. As the abscess increases, the pain intensifies, they are excruciatingly bursting in nature. Patients feel pressure and tension in the right half of the abdomen and chest, which increase over time. A man spares the sick side, therefore his gait, position in bed changes. Each 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. On palpation, there is a slight tension of the muscles of the abdominal wall in the liver. Especially severe pain is observed in the area of ​​the abscess. Pulse of weak filling, 120 140 beats per minute, blood pressure decreases. The clinical picture resembles a severe form of sepsis.
Recognition:
In the diagnosis, X-ray examination, liver scanning, ultrasound echococation, as well as labaroscopy, provide significant assistance. To clarify the diagnosis, puncture of the abscess with a thin needle is used.
Treatment:
With amoebic liver abscesses, conservative or conservative surgical methods. Pyogenic liver abscesses are subject to surgery.