Sandbox:YK: Difference between revisions
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{{family tree | C01 | | C02|C01=Conservative management with antibiotics alone|C02=Open surgical drainage}} | {{family tree | C01 | | C02|C01=Conservative management with antibiotics alone|C02=Open surgical drainage}} | ||
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==Drainage== | |||
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{{Family tree | | | | | | A01 | | | |A01= '''Drainage'''}} | |||
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{{Family tree | | | B01 | | B02 | | B03|B01=Percutaneous drainage|B02=Open surgical drainage|B03=Endoscopic retrograde cholangiopancreatography (ERCP)}} | |||
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{{family tree | C01 | | C01 |C01=CT guided|C02=Ultrasound guided}} | |||
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Revision as of 01:01, 27 February 2017
Amoebic liver abscess diagnosis
| Diagnosis of amoebic liver abscess | |||||||||||||||||||||||||||||||||||||||||||||||
| Signs and symptoms(a) Fever, abdominal pain, point tenderness over the liver, hepatomegaly, weight loss History Travel to endemic areas, immigrant from endemic areas, having had dysentery within last years, gender (male/female:9/1 | |||||||||||||||||||||||||||||||||||||||||||||||
| Laboratory diagnosis(LD) and Radiologic Methods (RM) (US, CT or MRI) | |||||||||||||||||||||||||||||||||||||||||||||||
| LD negative and RM negative:Floow | LD negative and RM positive:aspiration, if possible(b) | LD positive and RM positive: chemotherapy / surgical treatment | |||||||||||||||||||||||||||||||||||||||||||||
| Pyogenic abscesses Neoplasia (hepatocellular carcinoma) Cysticercosis Cystic echinococcosis | ALA | ||||||||||||||||||||||||||||||||||||||||||||||
Liver abscess
| Liver abscess | |||||||||||||||||||||||||||||||||||||||||||||
| Risk factors | |||||||||||||||||||||||||||||||||||||||||||||
| Hematogenous | Biliary | Underlying lesions or anamolies | Other causes | ||||||||||||||||||||||||||||||||||||||||||
| Portal vein Intra-abdominal infection Pyelophlebitis Abdominal abscess Amoebiasis Arterial ENT Oral cavity | Gall stones Obstructed bile duct Contiguous spread, ascending cholangitis Bile duct ischemia | Biliary cyst Hydatid cyst Cystadenoma Necrosis of a primary tumor Superinfection of a metastasis Caroli disease Biliary stricture Sclerosing cholangitis Ischemic cholangitis | Radiofrequency ablation / Chemoembolization in the presence of infected bile Pancreatoduodenectomy Liver transplantation Hepatic trauma ± arterial embolization | ||||||||||||||||||||||||||||||||||||||||||
Causes liver abscess
| Pyogenic liver abscess | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Causes | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Hepatobiliary | Portal | Arterial | Traumatic | Cryptogenic | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Benign | Malignant | Benign | Malignant | • Endocarditis • Vascular sepsis • Dental infection • ENT infection | Benign | Malignant | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| • Lithiasis • Cholicystitis • Biliary enteric anastomosis • Percutaneous biliary procedures • Endoscopic biliary procedures | • Gall bladder • Common bile duct • Head of pancreas • Ampulla | • Appendicitis • Diverticulitis • Pelvic suppuration • Anorectal suppuration • Pancreatic abscess • Postoperative sepsis • Intestinal perforation • Inflammatory bowel disease | • Gastric cancer • Colon cancer | • Open or closed abdominal trauma | • Percutaneous ethanol injection or radiofrequency • Chemoembolization | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Treatment
| Treatment | |||||||||||||||||||||
| Non-surgical treatment | Non-surgical treatment | ||||||||||||||||||||
| Conservative management with antibiotics alone | Open surgical drainage | ||||||||||||||||||||
Drainage
| Drainage | |||||||||||||||||||||||||
| Percutaneous drainage | Open surgical drainage | Endoscopic retrograde cholangiopancreatography (ERCP) | |||||||||||||||||||||||
| CT guided | CT guided | ||||||||||||||||||||||||