[Modern views concerning surgical treatment of psychogenic chronic hepatic abscesses]. / Moderne vedute sul trattamento chirurgico degli ascessi epatici cronici piogenici

ABSTRACT

A case of paracholecystic pyogenic abscess of the liver discovered intraoperatively in a patient with calculous cholecystitis is reported. Successful management was obtained by means of extensive resection of the protruding cap, scrapping of the wall and suture of the parenchyma, coupled with cholecystectomy. The literature on treatment of liver abscesses is reviewed. The conclusion is drawn that radical removal, with respect for the parenchyma, is best employed in chronic, restricted forms. The pus must, of course, be cultured and an antibiogram run on the germs isolated, as a prelude to planned antibiotic management after surgery.