Most abscesses develop in the liver and can be single or multiple. They can form hematogenous dissemination of microbes or local dissemination within the peritoneal cavity. The most common cause for liver abscess is represented by biliary tract disease.
Clinically, liver abscess is manifested by fever and signs located in the right upper quadrant pain, muscular defense, tenderness. Nonspecific symptoms can occur: chills, loss of appetite, weight loss, nausea and vomiting. Half of these patients have hepatomegaly. Laboratory investigations will highlight an increase in alkaline phosphatase, bilirubin and hepatic transaminases.
Chest radiography will highlight right ascension due to liver purulent collection. Ultrasound and computer tomography contribute to the diagnosis.
Surgical drainage as a method of treatment remains the main therapeutic method for drug use hepatice.Terapia abscesses same antibiotics as in intra-abdominal sepsis.