Opisthorchosis liver abscesses

Abstract

There are studied frequency of abscesses of a liver at chronic opistorchosis; the reasons of cases; features of clinic, diagnostics, treatment. Laboratory, morphological, instrumental and clinical methods were applied. From 1 170 patients operated concerning complications chronic opistorchosis, liver abscesses are taped at 31 (2,6%) with a long and massive invasion. In 90,5% of cases they were cholangiogenes. The clinic was charactericed by a septic condition. At ultrasonography it is taped two types of the image: corresponding stages of infiltration and a parenchyma destruction. Surgical tactics is individual: at 6 patients — transcutaneum drainage, at 12 — drainage by Melnicov, at 13 — a liver resection. Necessarily external drainage of biliar ducts. 4 persons were died. Features: 1) abscesses in most cases are plural; 2) good effect from concervative treatment at the kept passage of bile; 3) propensity to relapse.