Treatment of Posttraumatic Liver Abscess: a Case Study

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Abstract

Liver abscess is a severe, multifactorial disease that occupies from 1 to 3% of the pathology structure of the hepatobiliary system. In the absence of proper treatment, the disease is accompanied by high mortality. Despite all the achievements of modern medicine, the problem of treating liver abscesses remains as relevant as ever. Approaches and techniques of diagnosis and treatment are changing, but such patients still require a versatile approach to treatment. This paper presents a brief overview of the history, modern ideas about the etiology and pathogenesis of liver abscesses, highlights the main tactical approaches in treatment, and the associated features of the course of the disease. A brief overview and comparative analysis of the most common, available and modern treatment options of liver abscesses is given. As an example of successful treatment of liver abscess, a clinical case of minimally invasive ultrasound-guided management of a post-traumatic liver abscess is given, the option is widely used in our clinic. The main stages of treatment, the therapy performed and the invasive interventions performed are described. This treatment option clearly demonstrates the effectiveness of minimally invasive techniques in the treatment of liver abscesses. Thus, the article is a brief insight on the main aspects of the liver abscesses treatment, illustrated by a clinical example of successful treatment of post-traumatic liver abscess.

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About the authors

Sergey V. Tarasenko

Ryazan State Medical University

Author for correspondence.
Email: surgeonsergey@hotmail.com
ORCID iD: 0000-0002-1948-5453
SPIN-code: 7926-0049

M.D., Professor, Head of the Department of Hospital Surgery

Russian Federation, Ryazan

Daniil O. Tyulenev

Ryazan State Medical University

Email: dtyulenev@yandex.ru
ORCID iD: 0000-0001-5919-2180

Ph.D., Assistant of the Department of Hospital Surgery

Russian Federation, Ryazan

Alexander A. Kopeikin

Ryazan State Medical University

Email: akopeykin@yandex.ru
ORCID iD: 0000-0002-2198-1464
SPIN-code: 4011-8705

Ph.D., Associate Professor of the Department of Hospital Surgery

Russian Federation, Ryazan

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Supplementary files

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2. Fig. 1. Ultrasound picture of liver abscess at admission.

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3. Fig. 2. Ultrasound picture on the 5th day after drainage of the liver abscess.

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4. Fig. 3. Ultrasound picture on the 15th day after drainage of the liver abscess.

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Copyright (c) 2024 Tarasenko S.V., Tyulenev D.O., Kopeikin A.A.

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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