Pediatr. pro Praxi, 2003; 1: 38-40

Absces jater jako vzácná infekční komplikace laparoskopické apendektomie

prof. MUDr. Vladimír Mihál CSc1, MUDr. Jaroslav Wiedermann CSc1, MUDr. Eva Klásková1, MUDr. Josef Tenora1, MUDr. Kamila Michálková2, MUDr. František Skopal3, MUDr. Miroslav Musílek4
1 Dětská klinika LF UP a FN Olomouc
2 Radiologická klinika LF UP a FN Olomouc
3 I. chirurgická klinika LF UP a FN Olomouc
4 Dětské oddělení nemocnice Šumperk

Published: December 31, 2003  Show citation

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Mihál V, Wiedermann J, Klásková E, Tenora J, Michálková K, Skopal F, Musílek M. Absces jater jako vzácná infekční komplikace laparoskopické apendektomie. Pediatr. praxi. 2003;4(1):38-40.

Pyogenní absces jater je vzácnou komplikací laparoskopických chirurgických výkonů u dětí. Prezentována je kazuistika patnáctileté dívky s touto komplikací po laparoskopické apendektomii. Absces jater byl úspěšně léčen drenáží pomocí perkutánního transhepatického katetru a parenterální aplikací antibiotik. Další komplikací byl rozvoj pravostranné pleuropneumonie, u které hrudní drenáž se širokospektrální antibiotickou léčbou vedla k vyléčení.

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References

  1. Babyn P, Stringer DA. Imagining. Radiography: Plain film. In Walker, WA, Durie PRD, Hamilton JR, Walker-Smith JA, Watkins JB, eds. Pediatric gastrointestinal disease, 3rd ed. Hamilton: B.C. Decker Inc. 2000; 1595-1597.
  2. Kaplan SL. Pyogenic liver abscess. In: Feigin RD, Cherry JD, eds. Textbook of Pediatric Infectious Diseases, 3rd ed. Philadelphia: W.B. Saunders. 1992; 702-705.
  3. Rajak CL, Gupta S, Jain S, Chawla Y, Gulati M, Suri S. Percutaneous treatment of the liver abscess: needle aspiration versus catheter drainage. Am J Radiol 1998; 170: 1035-1039. Go to original source...
  4. Stain SC, Yellin AE, Donovan AJ, Brien HW. Pyogenic liver abscess: modern treatment. Arch Surg 1991; 126: 991-996. Go to original source... Go to PubMed...
  5. Tazawa J, Sakai Y, Maekawa S, Ishida Y, Maeda M, Maruma F, Sato C. Solitary and multiple pyogenic liver abscess: characteristics of the patients and efficacy of percutaneous drainage. Am J Gastroenterol 1997; 92: 271-274.




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