Piyojenik Karaciğer Apsesi: Olgu Sunumu.

Year 2017, Volume: 74 Issue: 2, 155 - 160, 01.06.2017

Duygu Mert Muret Ersöz Arat Öznur Güneş Mustafa Ertek

Abstract

Piyojenik karaciğer apsesi PKA nadir görülen, drenaj ve uygun antibiyotik tedavisi ile mortalitesi azalan bir hastalıktır. Altmış yaşında erkek hasta yaklaşık iki ay önce sağ üst kadran da ağrı, ateş, halsizlik ve iştahsızlık nedeniyle genel cerrahi servisine yatırıldı. Ultrasonografide 10 cm’lik karaciğer apsesi ile uyumlu bir kitle saptandı. Perkütan kateter ile abse drene edildi. Hasta iki hafta genel cerrahi servisinde yattıktan sonra genel durumunun düzelmesi üzerine taburcu edildi. Fakat sağ üst kadran da ağrı, ateş, halsizlik ve iştahsızlık nedeniyle enfeksiyon hastalıkları servisine yatırıldı. Hastanın fizik muayenesinde batın sağ üst kadranda hassasiyet mevcuttu. Sağ hipokondriumda da perkütan drenaj kateteri bulunmaktaydı. Antibiyotik tedavisine başlandı. Görüntüleme tetkiklerinde karaciğerde multiloküler apse olması nedeniyle hastaya 2. Peruktan kateter dreni takıldı. Klinik ve laboratuvar bulguları düzelen hasta oral antibiyotik tedavisi ile taburcu edildi. Bu olguda piyojenik karaciğer apselerine genel yaklaşım ve tedavi seçenekleri incelendi

Keywords

Piyojenik karaciğer apsesi, antibiyotik tedavisi, perkütan drenaj

Pyogenic Liver Abscess: Case Report.

Abstract

Pyogenic liver abscess PKA is a rare disease, which mortality could decrease with drainage and appropriate antibiotic therapy. A sixty year-old male patient was admitted to general surgery inpatient unit with findings of fever, anorexia, fatigue and right upper quadrant abdominal pain about two months ago. Ultrasonography revealed a 10 cm mass which is suitable with liver abscess. Abscess was drained by a percutaneous catheter. The patient was discharged from general surgery inpatient unit when his clinical findings improved after two weeks of inpatient follow-up. The patient was admitted to infectious diseases in patient unit with findings of fever, malaise, anorexia and right upper quadrant pain. Physical examination of the patient revealed sensitivity in the right upper quadrant of the abdomen. And there was a percutaneous drainage catheter in the right hypochondrium. Antibiotic therapy was started. Second percutaneous drainage catheter was inserted because of the multilocular abscess in the liver imaging. The patient was discharged with oral antibiotic therapy when his clinical and laboratory findings improved. In this case, it was evaluated general approach to pyogenic liver abscess and treatment options

Keywords

Pyogenic liver abscess, antibiotic therapy, percutaneous drainage

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