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.

What is a liver abscess? What are the clinical manifestations, causes, examinations, and treatments for liver abscess?

What is a liver abscess? What are the clinical manifestations, causes, examinations, and treatments for liver abscess?

What is a liver abscess? What are the clinical manifestations, causes, examinations, and treatments for liver abscess?

Liver abscess
Liver abscess is a liver purulent lesion caused by various microorganisms such as bacteria, fungi or amoeba, and if it is not actively treated, the mortality rate can be as high as 10% to 30%. The liver has a rich pipeline system, including the biliary system, portal system, hepatic arteriovenous system and lymphatic system, which greatly increases the probability of microbial parasitism and infection. Liver abscesses are divided into three types, of which bacterial liver abscess is often a mixed infection caused by a variety of bacteria, about 80%, amebic liver abscess is about 10%, and fungal liver abscess is less than 10%.

Cause
The incidence of amebic liver abscess is closely related to amoebic colitis, and most of the abscess is single; bacterial bacterial invasion of bacterial liver abscess can be caused by direct spread of intra-abdominal infection, besides sepsis, or umbilical Infection through the umbilical blood vessels, the portal vein into the liver, biliary aphids can also be the cause of bacterial liver abscess. Common bacteria are Staphylococcus aureus, Streptococcus, and the like. In addition, in the case of open liver injury, the bacteria may cause liver abscess with the injury or direct invasion of the wound; the bacteria may also come from the ruptured small bile duct. There are some unexplained hepatic abscesses, called cryptogenic liver abscesses, which may be associated with occult lesions already present in the liver. When the body's resistance is weakened, the pathogenic bacteria multiply in the liver and a liver abscess occurs. It has been pointed out that 25% of cryptogenic liver abscesses are associated with diabetes.