肝脓肿,胆囊切除术后罕见的并发症:1例报告

Jorge Pablo Pérez Macías, Alejandro Flores-Uribe, Jorge Alberto González-Arévalo, Oscar Armando Flores-Uribe
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引用次数: 0

摘要

摘要肝脓肿是一种罕见的并发症,其病因多种多样,多为胆道性脓肿。其病因可分为阿米巴原虫或化脓性,以细菌性病因多见。4.8% - 15%的急性胆囊炎患者和21.9%的胆道疾病患者与肝脓肿的发生有关。临床表现通常是非特异性的;需要辅以影像学检查才能及时诊断。它的管理因其演变和规模而异;经皮引流和外科引流对中、大型脓肿治疗效果良好,预后良好。我们提出的情况下,病人肝脓肿形成后腹腔镜胆囊切除术急性胆囊炎结石。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hepatic abscess, an unusual complication in a postoperative cholecystectomy patient: Case report
The hepatic abscess is a rare complication related to multiple causes, mostly of biliary origin. Its etiology can be classified on amoebic or pyogenic origin, being more frequent with the bacterial etiology. The development of a hepatic abscess is related in 4.8% to 15% of patients with acute cholecystitis and 21.9% of patients having a biliary disease. The clinical presentation is usually non-specific; it needs to be complemented with an imaging study to make the timely diagnosis. Its management varies according to its evolution and size; both percutaneous drainage and surgical drainage provide adequate management for medium and large abscess with a favorable prognosis. We presented the case of a patient with hepatic abscess formation after a laparoscopic cholecystectomy for acute Lithia sic cholecystitis.
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