Acta Scientific Gastrointestinal Disorders (ASGIS)(ISSN: 2582-1091)

Case Report Volume 5 Issue 6

Hepatic Abscess: Presentation of Two Cases Hepatic Absceso: Presentation of Two Case Reports

Danny Fernando Silva Cevallos1*, Linda Quinteros Pacheco2, Kevin Anthony Suarez Reyes2, Juan Salazar Flores3, Diana Salazar Flores4, Jhuleydi Cumanda Chuncho Romero5, Edison Pascual Moreno Rivas1 and Fernando Silva Michalon1

1Department of Internal Medicine/Emergency Medicine, Guayaquil Hospital Clinic/ University Guayaquil, Guayaquil, Ecuador
2General Practitioner Clinical Hospitalization Service Guayaquil, Guayaquil, Ecuador
3University of Guayaquil, Guayaquil, Ecuador 4General Practitioner Internal Medicine Service Clinic Guayaquil/Uess, Guayaquil, Ecuador
5General Practitioner, Edison Pascual Moreno Rivas, Specialist in Critical Medicine and Intensive Care Clinica Guayaquil/Uess, Guayaquil, Ecuador

*Corresponding Author: Danny Fernando Silva Cevallos, Department of Internal Medicine/Emergency Medicine, Guayaquil Hospital Clinic/ University Guayaquil, Guayaquil, Ecuador.

Received: May 10, 2022; Published: May 27, 2022

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Abstract

Amoebic and/or pyogenic liver abscess is a localized process of encapsulated suppurtive material. Although it is associated with figures of mortality 2-12%, figures that are increasing perhaps due to the delay in diagnosis or treatment [1]. Amoebic liver abscess is the most common form, the most endemic areas are tropical, subtropical countries [2]. Risk factors are associated with male gender, third and fifth decade of life, alcoholism, oncological diseases, immunosuppressants.

Se classify according to their anatomical location, segment or depth, number of single or multiple lesions, portal, biliary, contiguous infection pathway. Infections are usually caused by bacteria or amoebas, although they can be caused by Equinococcus and fungi. Amoebic liver abscess and pleural empyema are serious complications of intestinal amebiasis, as well as opportunistic bacteria, requiring pharmacological treatment or surgical drainage. The amoebic liver abscess is the invasion of the liver, from an intestinal focus by Entamoeba histolytica, is produced by hematogenous dissemination, through emboles through the portal vein is 7 to 10 times more common in adult males [3].

Pyogenic liver abscess, bile duct infections such as cholangitis and cholecystitis is the most frequent cause, among other pyogenic cholangitis, intrahepatic lithiasis, parasite infections in the bile duct, in fewer incidences underlying diseases such as diverticulitis, perforated or penetrating peptic ulcer, endocarditis, foreign bodies in the wall of the colon [4]. The preferred location is in the right lobe, as a result of greater blood flow, the lesions can be single or multiple.

 

Keywords: Amoebic; Percutaneous Drainage; Mortality; Klebsiella Pneumoniae

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References

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Citation

Citation: Danny Fernando Silva Cevallos., et al. “Hepatic Abscess: Presentation of Two Cases Hepatic Absceso: Presentation of Two Case Reports". Acta Scientific Gastrointestinal Disorders 5.6 (2022): 71-75.




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