La cholécystectomie était habituellement réalisée en raison de symptômes évocateurs de cholécystite ou d’angiocholite. La pathogénie des lésions est encore. 2) TRAITEMENT CHIRURGICAL DE L’ANGIOCHOLITE ET DE LA CHOLÉCYSTITE (CHOLECYSTITE). 3) DE L’ASEPSIE EN CHIRURGIE. 4) EXPOSÉ. Read the latest magazines about Angiocholite and discover magazines on Share. Cholécystite et angiocholite – longue vie et autonomie ( HEGP).
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Microbial contamination of the liver parenchyma leading to hepatic abscess HA can occur via the bile ducts or vessels arterial or portal or directly, by contiguity.
Infection is usually bacterial, sometimes parasitic, or very rarely fungal. In South-East Asia and Africa, amebic infection is the most frequent cause.
Note de problématique pertinence cholécystectomie
More rarely, HA occurs in the wake of septicemia either on healthy or pre-existing liver diseases biliary cysts, hydatid cyst, cystic or necrotic metastases.
The incidence of HA secondary to Klebsiella pneumoniae is increasing and can give rise to other distant septic metastases. The therapeutic strategy consists of bactericidal antibiotics, adapted to the germs, sometimes in combination with percutaneous or surgical drainage, and control of the primary source.
The presence of bile in the aspirate or drainage fluid attests to communication with the biliary tree and calls for biliary MRI looking for obstruction. When faced with HA, the attending physician should seek advice from a multi-specialty team, including an interventional radiologist, a hepatobiliary surgeon and an infectious disease specialist.
This should help to determine the origin and mechanisms responsible for the abscess, and then propose the best appropriate treatment. The presence of chronic enteric biliary contamination i. Hepatic abscess, Etiology, Diagnosis, Classification, Management.
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