What is a liver abscess puncture? What are the indications, contraindications, complications, postoperative care, and postoperative diet of liver abscess puncture?

What is a liver abscess puncture? What are the indications, contraindications, complications, postoperative care, and postoperative diet of liver abscess puncture?

What is a liver abscess puncture? What are the indications, contraindications, complications, postoperative care, and postoperative diet of liver abscess puncture?

Liver abscess is a hepatic suppurative lesion caused by a variety of microorganisms such as bacteria or amoeba, and is often guided by B-ultrasound or CT-guided percutaneous transhepatic abscess lesions and drained into the drainage tube.

Anesthesia and preoperative preparation

1. Anesthesia
Local infiltration anesthesia.
2. Preoperative preparation

• Check blood routine, platelet, and prothrombin time.
• Fasting for 8 to 12 hours before surgery, if the abdominal flatulence is obvious, you can take the anti-swelling medicine or clean the enema beforehand.

Indication

1. Clinically suspected liver abscess, and ultrasound showed intrahepatic hypoechoic or mixed echo lesions, need to be clearly diagnosed.
2. Larger single liver abscess, ultrasound guided by thick needle aspiration or catheter drainage.
3. For multiple liver abscesses, you can puncture 2 to 3 lesions at a time, or you can use multiple drainage tubes or tube drainage in a batch.

What is a biliary liver abscess? What are the causes, clinical manifestations, examinations, diagnosis, complications, and treatment of biliary liver abscess?

What is a biliary liver abscess? What are the causes, clinical manifestations, examinations, diagnosis, complications, and treatment of biliary liver abscess?

What is a biliary liver abscess? What are the causes, clinical manifestations, examinations, diagnosis, complications, and treatment of biliary liver abscess?

Biliary liver abscess

Biliary liver abscess is a bile duct obstruction caused by gallstones, bile duct stricture, etc., and liver abscess caused by infection. It is one of the serious complications of hepatolithiasis. The disease is a multiple abscess in the liver, often associated with acute obstructive suppurative cholangitis. The clinical onset is more rapid, mainly manifested as symptoms of acute infection. The age of good hair is 21 to 40 years old, more men than women.

Cause
Bile duct stones, aphids, biliary stenosis and other biliary obstruction and inflammation, bacteria along the bile duct, invade the liver to cause inflammation, and then form a number of small abscesses, and later gradually merge into a larger abscess. Abscesses are often multiple and communicate with the bile duct, a rare abscess. In the original bile duct stones, the bile ducts are more dilated and thickened, and a large amount of fibrous tissue is proliferated in the portal tube area, which is not easy to be broken. The pathogens of biliary hepatic abscess infection are mainly Escherichia coli, followed by anaerobic streptococcus.