A clinical study of liver abscess in patients attending the surgical department; A single center experience
Cerrahi kliniğine gelen hastalarda karaciğer apsesinin klinik analizi. Tek merkez deneyimi.
Anahtar Kelimeler:
Amoebic liver abscess, pyogenic liver abscess, metronidazole, needle aspiration.Özet
Liver abscess is a condition that is seen by surgeons all over the world. The patients present to the surgical department with features of right hypocondrial pain, fever and jaundice. Investigations such as ultrasound of the abdomen and CT scan of the abdomen are extremely useful in diagnosing a case of liver abscess. The two main causes of liver abscess are amoebic and pyogenic liver abscess. Occasionally a liver abscess may also occur due to fungal infection. Treatment modalities include the use of drugs such as metronidazole for amoebic liver abscess, as well as needle aspiration and pigtail catheter drainage when required. This was a prospective study was carried out from August 2015 to July 2018, for a period of three years. The study was conducted at SRM Medical College Hospital and Research Center, Kattankulathur, Tamil Nadu, India. Investigations such as complete blood count (CBC), chest x-ray, x-ray abdomen, ultrasound of the abdomen and CECT of the abdomen were done. A total of 57 patients were studied and the results obtained were analysed.
ÖZET
Karaciğer apsesi, tüm dünyadaki cerrahlar tarafından karşılaşılan bir durumdur. Hastalar sağ hipokondriyal ağrı, ateş ve sarılık özellikleri ile cerrahi bölümüne başvururlar. Karın ultrasonu ve karın BT taraması gibi araştırmalar karaciğer apsesi teşhisinde son derece yararlıdır. Karaciğer apsesinin iki ana nedeni amipli ve piyojenik karaciğer apsesidir. Bazen mantar enfeksiyonu nedeniyle de karaciğer apsesi oluşabilir. Tedavi yöntemleri arasında amipli karaciğer apsesi için metronidazol gibi ilaçların yanı sıra iğne aspirasyonu ve gerektiğinde pigtail kateter drenajı yer alır. Prospektif çalışmamızda Ağustos 2015'ten Temmuz 2018'e kadar üç yıllık bir süre boyunca kliniğimize gelen hastalar değerlendirmeye alındı. Çalışma SRM Medical College Hastanesi ve Araştırma Merkezi, Kattankulathur, Tamil Nadu, Hindistan'da gerçekleştirildi. Tam kan sayımı (CBC), göğüs röntgeni, karın röntgeni, karın ultrasonu ve karın CECT gibi incelemeler yapıldı. Toplam 57 hasta incelendi ve elde edilen sonuçları analiz edildi.
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